{"id":3914,"date":"2014-03-18T10:06:34","date_gmt":"2014-03-18T10:06:34","guid":{"rendered":"http:\/\/www.medicalbillersandcoders.com\/blog\/?p=3914"},"modified":"2026-05-11T14:15:07","modified_gmt":"2026-05-11T14:15:07","slug":"2014-medicare-therapy-cap-and-its-medical-billing-and-coding-implications","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/2014-medicare-therapy-cap-and-its-medical-billing-and-coding-implications\/","title":{"rendered":"2014 Medicare Therapy Cap and its Medical Billing and Coding Implications"},"content":{"rendered":"

The healthcare industry has been continually evolving over the last decade with EMR<\/a> reforms, Medicare inclusion, pay-for-performance reimbursement standards and ICD 10 coding<\/a> 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.<\/p>\n

The Balanced Budget Act of \u201997 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\u00a0be no different either.<\/p>\n

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 \u2013<\/p>\n