We have attached the 2007 Ohio Medicare Part B Fee Schedule for Outpatient Rehabilitation services. Please forward this schedule to your business office as these updated Part B fee screens must be used for January 2007 billings. For budgeting and comparison purposes, we have provided the 2006 fee screen amounts and a calculation of the differences.

Medicare B Therapy Exception Process Extended

Medicare B Therapy caps took effect January 1, 2006. Congress then passed an “exceptions process” in the Deficit Reduction Act of 2005 (signed in February 2006). The exceptions process allows for specific diagnoses and procedures to receive Medicare coverage even after a beneficiary has met their therapy cap for the year. Alternatively, a provider can request an exception if the particular problem to be treated is not automatically covered under the given exceptions. This exceptions process was scheduled to end January 1, 2007, but has been extended through December 31, 2007.

2007 Therapy Caps

Physical therapy and speech therapy combined will have a cap of $1,780. In addition, occupational therapy services will have a cap of $1,780. This limit applies to services provided in a location other than outpatient hospital.