Victory! Therapy Caps Suspended December 8th

(12/08/03)

With President Bush's signing of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the cap on Part B Medicare therapy services has been suspended effective December 8, 2003 until at least the end of 2005.  Providers of outpatient speech-language pathology services should start submitting their claims.  According to CMS, payment for Part B speech-language pathology services will be paid based on the date the claim is received by the contractor, as opposed to the date the service was provided.

CMS has notified its contractors through a transmittal that will soon be available on the CMS Web site.  A link to this transmittal will also be on the  Billing & Reimbursement page once it is available. For additional information, please contact Ingrida Lusis at ilusis@asha.org, ASHA's Director of Health Care Regulatory Advocacy, at 800-498-2071, ext. 4482.