Act that started the Medicare Therapy Cap
What is the Balanced Budget Act?
Name of act that repealed the Medicare Therapy Cap
What is the Bipartisan Budget Act?
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?
Percentage PTA and OTA will be reimbursed for services
What is con? What is 85%?
Person who kept extending exceptions policy short-term
Who is Barack Obama?
Type of services the Medicare Therapy Cap repeal effected
What is Part B?
You were treating a patient whose claims exceeded $2010. What must you include in your charges?
What is KX modifier?
Other occupation that is lumped with PT for monetary threshold
What is con? What is SLP?
Year Balanced Budget Act went into effect
What is 1999?
Year PTA/OTA payment differential will begin
What is 2022?
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)
Number of years APTA has lobbied for this repeal
What is pro? What is 20 years?
Monetary limit the Manual Medical Review occurred according to the old Medicare Cap
What is $3700?
Monetary amount of new threshold for potential medical review
What is $3,000?
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?
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?
Name of the act introduced to permanently repeal the therapy cap. Hint: introduced in 2017.
What is the "Medicare Access to Rehabilitation Services Act"?
Date the Bipartisan Budget Act was signed into law
What is February 9, 2018?
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?
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?