History
Cap Repeal
Case Situations
Pros/Cons of Cap Repeal: name if Pro/Con
100

Act that started the Medicare Therapy Cap

What is the Balanced Budget Act? 

100

Name of act that repealed the Medicare Therapy Cap

What is the Bipartisan Budget Act?

100

True/False: Treating a 62 year-old patient for total hip replacement. Medicare Therapy Cap repeal will impact this patient's care. 

What is false?

100

Percentage PTA and OTA will be reimbursed for services

What is con? What is 85%?

200

Person who kept extending exceptions policy short-term

Who is Barack Obama?

200

Type of services the Medicare Therapy Cap repeal effected

What is Part B?

200

You were treating a patient whose claims exceeded $2010. What must you include in your charges?

What is KX modifier?

200

Other occupation that is lumped with PT for monetary threshold

What is con? What is SLP?

300

Year Balanced Budget Act went into effect

What is 1999?

300

Year PTA/OTA payment differential will begin

What is 2022?

300

You have been seeing a patient for home health therapy services for 90 days. How many episodes of care is this?

What is 3? (Explanation: new policy will change 60 day episode of care to 30 days)

300

Number of years APTA has lobbied for this repeal

What is pro? What is 20 years?

400

Monetary limit the Manual Medical Review occurred according to the old Medicare Cap

What is $3700?

400

Monetary amount of new threshold for potential medical review

What is $3,000?

400

You are working as a PT in a setting facing budget cuts and reduction in payment units. Name the setting.

What is Home Health Care?

400

Individuals who benefit from Medicare Therapy Cap repeal. Name at least 2 categories of people. 

What is pro? Who are PT's, SLP's, OT's, and/or patients >65yrs. of age?

500

Name of the act introduced to permanently repeal the therapy cap. Hint: introduced in 2017.

What is the "Medicare Access to Rehabilitation Services Act"?

500

Date the Bipartisan Budget Act was signed into law

What is February 9, 2018?

500

True/False: You are treating a patient whose claims exceed $3000 with the new Medicare Therapy Cap policies. Medicare will perform a Manual Medical Review automatically. 

What is false?

500

Individuals who do not benefit from Medicare Therapy Cap repeal. Name at least 2 categories of people. 

What is con? Who is OTA, PTA, and/or managers that employ OTA's and PTA's?