Cap issues

[Guest guest]

Dear Listserv:

TGIF !

Our outpatient clinic (PT, OT, ST) is in the process of re-thinking our

rehab services charging system. Our payor source is 99.9 % Medicare -

as we are located within a large (> 400 residents), fairly affluent,

Independent Living Community. Previously, we have just marked up the

Physicians' fee schedule by about 50% - across the board.

However, with the Med B cap, we are thinking about reducing our mark-up

to be more affordable for a greater number of our residents who may end

up paying privately for rehab if they should max out their Med B benefit

before the end of the year. (Historically, many of our residents may

have 2 or more episodes of outpatient therapy within a calendar year.)

Since the cap was reinstituted on Jan 1, is anyone else thinking along

these lines?

Thank you for any responses.

J.A. Foley, PT, MM

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