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- Therapy_cap abstract "In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or therapy cap, for outpatient therapy services covered under Medicare Part B. These services include Physical Therapy, occupational therapy and speech language pathology. Facilities affected by the therapy cap include: private practice, physician offices, skilled nursing facilities, rehabilitiations agencies, comprehensive outpatient rehabilitation facilities, critical access hospitals, and outpatient hospital departments. For 2014, the therapy cap amount is $1920 for physical therapy and speech pathology combined. A separate $1920 is allowed for occupational therapy services. Beneficiaries enrolled in Medicare Advantage plans are not subject to the therapy cap unless the plan chooses to apply the cap.Beginning in 1999 Congress has placed repeated moratoria on the Therapy Cap through 2006. In 2006, an exception process was put into place through the Deficit Reduction Act of 2005. The exception process allowed for additional therapy services to be provided “when medically necessary” up to $3,700 after which, a manual medical review is required before further payment will be provided. Once the cap is reached, patients are allowed to pay out of pocket for further services. Without further legislation the therapy cap exception process will expire on March 31, 2015. At this time hospital based outpatient clinics will no longer be subject to the therapy cap.".
- Therapy_cap wikiPageID "8428767".
- Therapy_cap wikiPageLength "5334".
- Therapy_cap wikiPageOutDegree "12".
- Therapy_cap wikiPageRevisionID "634000416".
- Therapy_cap wikiPageWikiLink American_Heart_Association.
- Therapy_cap wikiPageWikiLink American_Occupational_Therapy_Association.
- Therapy_cap wikiPageWikiLink American_Physical_Therapy_Association.
- Therapy_cap wikiPageWikiLink Balanced_Budget_Act_of_1997.
- Therapy_cap wikiPageWikiLink Category:Medicare_and_Medicaid_(United_States).
- Therapy_cap wikiPageWikiLink Category:Physical_therapy.
- Therapy_cap wikiPageWikiLink Deficit_Reduction_Act_of_2005.
- Therapy_cap wikiPageWikiLink Government_Accountability_Office.
- Therapy_cap wikiPageWikiLink Medicare_(United_States).
- Therapy_cap wikiPageWikiLink Occupational_therapy.
- Therapy_cap wikiPageWikiLink Physical_therapy.
- Therapy_cap wikiPageWikiLink Speech-language_pathology.
- Therapy_cap wikiPageWikiLinkText "therapy cap".
- Therapy_cap subject Category:Medicare_and_Medicaid_(United_States).
- Therapy_cap subject Category:Physical_therapy.
- Therapy_cap type Occupation.
- Therapy_cap comment "In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or therapy cap, for outpatient therapy services covered under Medicare Part B. These services include Physical Therapy, occupational therapy and speech language pathology.".
- Therapy_cap label "Therapy cap".
- Therapy_cap sameAs Q7782540.
- Therapy_cap sameAs m.027335l.
- Therapy_cap sameAs Q7782540.
- Therapy_cap wasDerivedFrom Therapy_cap?oldid=634000416.
- Therapy_cap isPrimaryTopicOf Therapy_cap.