Wednesday, March 3, 2021
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CMS releases therapy claims for processing

The Centers for Medicare & Medicaid Services (CMS) will immediately release for processing therapy claims that have been held that contain the KX modifier with dates of receipt of Jan.1-10.

CMS will also implement a “rolling hold” to minimize the impact of legislation to extend the outpatient therapy caps, if the exceptions process is enacted.

The current outpatient therapy cap is $2,010 per year for physical therapy and speech/language pathology combined, and $2,010 per year for occupational therapy.  If the exceptions process is not enacted, beneficiaries whose therapy exceeds these caps will be responsible for payment.

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