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To: NoobRep

There have been caps for Medicare Part B OP therapy for a long time though the amounts have changed and PT, OT and SP have not been exempt.
What a facility will charge for an OP visit may be $650 but what is allowable and reimbursed under Medicare is significantly less.

The total reimbursed amount will vary depending on the CPT-4 coding that the therapist use.


6 posted on 09/18/2012 6:40:45 AM PDT by ebersole
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To: ebersole

That is not what the gov site says. It says with Balanced Budget Act of 1997, caps for other services were added but not for Outpatient centers.


9 posted on 09/18/2012 6:47:00 AM PDT by NoobRep
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