Medical Billing Blog
Medicare Therapy Cap/Threshold policy 2013
Medicare has announced that the therapy cap amounts for 2013 will be $1,900.00 for Occupational Therapy (OT) and a separate $1,900.00 cap for Physical Therapy (PT) and Speech Language Therapy (SLP) combined. There is also a $3,700.00 threshold for OT with a separate...
Mandatory Payment Reductions for Medicare due to Sequestration
Due to the Budget Control Act of 2011 and President Obama’s issuance of a sequestration order on March 1, 2013, CMS (Centers for Medicare & Medicaid Services) has announced that there will be reductions to the Medicare FFS program. Effective for claims with dates...
Medical Claim Follow up
If your office is not following up on all claims to make sure they are paid correctly and in a timely manner you may be missing out on thousands of dollars per year. Most practices that have signed up with Superior Medical Billing Solutions have seen a definite...
PQRS reporting in 2013 effects provider payments in 2015
Many medical providers have not begun preparing for Medicare’s Physician Quality Report System (PQRS) reporting in 2013. Any provider who does not meet the minimum reporting requirements for PQRS in 2013 will be penalized 1.5% of their Medicare payments in 2015. This...
The Fiscal Cliff Bill Signed 1-2-13
American Taxpayer Relief Act of 2012 Signed by President Obama Medical providers are relieved that the 27% reduction in the Medicare Physician Fee Schedule (MPFS) will not go into effect January 1, 2013. President Obama signed the American Taxpayer Relief Act of 2012...
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