Physical Therapy Med Supp Limit Question

Apr 12, 2019

  1. vic120
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    I have a client on med supp has gone through a lot in the past 6 months

    He is going through the second occurrence of needing PT but is being told he is nearing the annual limit for PT under Medicare because of his first occurrence

    I have not heard this before is this a fact Is there an annual limit to PT regardless of separate occurrences?
     
    vic120, Apr 12, 2019
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  2. fed up
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    In 2018, Congress eliminated the limits on how much Medicare pays for therapy services in one calendar year (also called "therapy caps" or "therapy cap limits").
     
    fed up, Apr 12, 2019
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  3. vic120
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    Awesome Thank You
     
    vic120, Apr 12, 2019
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  4. DS4
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    Capture.JPG
     
    DS4, Apr 12, 2019
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  5. vic120
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    Thanks Guys Client going to argue with PT place now that he has ammo
     
    vic120, Apr 12, 2019
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  6. sman
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    As others have pointed out, the limits on PT have been removed. This is a perfect example of how the folks at medical practices can make our jobs more difficult. But, once you show this client that you are more knowledgeable than the staff at the doctor’s office, they will trust you even more.
     
    sman, Apr 12, 2019
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  7. vic120
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    Yes I did it right away sent him email

    Very happy client
     
    vic120, Apr 12, 2019
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  8. somarco
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    somarco GA Medicare Expert

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    No limit as others have posted but doc still has to show MEDICAL NECESSITY for PT to continue.
     
    somarco, Apr 12, 2019
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