The healthcare industry has been continually evolving over the last decade with EMR reforms, Medicare inclusion, pay-for-performance reimbursement standards and ICD 10 coding changes. But there is one change that has been repeatedly causing government and care providers to worry about reimbursement rates and growth of their practices.
The Balanced Budget Act of ’97 introduced the sustainable growth rate (SGR) formula and Medicare Therapy cap to control the amount paid out in reimbursements and act as cost saving measures. However, due to erroneous SGR calculations and therapy cap threatening to restrict the entire reimbursement model of healthcare, policy makers have had to make adjustments in these two policies every year. 2014 has proven to be no different either.
Medicare therapy cap, if installed in place can restrict the medical rehabilitation services covered under Medicare. With millions over the age of 65 coming under Medicare coverage this year, the therapy cap can be nothing short of disastrous. To better equip your medical practice for the Medicare therapy cap, you need to consider the following implications for your practice –
Medicalbillersandcoders.com hosts the services of Medicare experts and medical billing and coding experts with years of experience in providing guidance to medical providers as well as billing solutions. At this crucial time, you will need a billing partner that can understand the revenue processes of your medical practice and align them well with changing Medicare requirements. Medicalbillersandcoders.com is a billing partner that can facilitate your transactions and claim filing under Medicare therapy cap, leaving you sufficient time to focus on your patients.