RE: Medicare Payment Update

[Guest guest]

Rick,

If the MPPR is a 20% reduction on the 2nd and subsequent code on outpatient

therapy services, why is the negative impact only 4-6% in 2011?

Alice

To: ptmanager

From: rick0905@...

Date: Thu, 9 Dec 2010 17:58:27 -0800

Subject: Medicare Payment Update

What a difference a day makes. On Wednesday, December 8th, the Senate passed the

Medicare and Medicaid Extenders Act of 2010 and this bill was passed by the

House of Representatives today, December 9th. The President is expected to sign

the bill into law immediately. The bill stops the scheduled 25% reduction in

payments for therapy services under the Medicare Physician Fee Schedule and

extends the therapy cap exception process for all of 2011. This means providers

of therapy services will be reimbursed at the same rate in 2011 as they were in

2010 except for the 4%-6% negative impact as a result of the Multiple Procedure

Payment Reduction policy.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

[Guest guest]

Rick,

If the MPPR is a 20% reduction on the 2nd and subsequent code on outpatient

therapy services, why is the negative impact only 4-6% in 2011?

Alice

To: ptmanager

From: rick0905@...

Date: Thu, 9 Dec 2010 17:58:27 -0800

Subject: Medicare Payment Update

What a difference a day makes. On Wednesday, December 8th, the Senate passed the

Medicare and Medicaid Extenders Act of 2010 and this bill was passed by the

House of Representatives today, December 9th. The President is expected to sign

the bill into law immediately. The bill stops the scheduled 25% reduction in

payments for therapy services under the Medicare Physician Fee Schedule and

extends the therapy cap exception process for all of 2011. This means providers

of therapy services will be reimbursed at the same rate in 2011 as they were in

2010 except for the 4%-6% negative impact as a result of the Multiple Procedure

Payment Reduction policy.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

[Guest guest]

Did the President sign the bill?

From: PTManager [mailto:PTManager ] On Behalf

Of Rick Gawenda

Sent: Thursday, December 09, 2010 8:58 PM

To: ptmanager

Subject: Medicare Payment Update

What a difference a day makes. On Wednesday, December 8th, the Senate passed

the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by

the House of Representatives today, December 9th. The President is expected

to sign the bill into law immediately. The bill stops the scheduled 25%

reduction in payments for therapy services under the Medicare Physician Fee

Schedule and extends the therapy cap exception process for all of 2011. This

means providers of therapy services will be reimbursed at the same rate in

2011 as they were in 2010 except for the 4%-6% negative impact as a result

of the Multiple Procedure Payment Reduction policy.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

[Guest guest]

The 20% discount is only the Practice Expense portion of the payment (as

opposed to the full payment which also includes Work and Malpractice

expense). The APTA has a nice calculator on their site to help you

understand the impact.

===================================

*Maureen Whitney*

*Business Manager*

Essex Physical Therapy

Essex Junction, VT

maureen@...

*From:* PTManager [mailto:PTManager ] *On

Behalf Of *Alice Wong

*Sent:* Tuesday, December 14, 2010 10:33 PM

*To:* ptmanager

*Subject:* RE: Medicare Payment Update

Rick,

If the MPPR is a 20% reduction on the 2nd and subsequent code on outpatient

therapy services, why is the negative impact only 4-6% in 2011?

Alice

To: ptmanager <ptmanager%40yahoogroups.com>

From: rick0905@... <rick0905%40yahoo.com>

Date: Thu, 9 Dec 2010 17:58:27 -0800

Subject: Medicare Payment Update

What a difference a day makes. On Wednesday, December 8th, the Senate passed

the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by

the House of Representatives today, December 9th. The President is expected

to sign the bill into law immediately. The bill stops the scheduled 25%

reduction in payments for therapy services under the Medicare Physician Fee

Schedule and extends the therapy cap exception process for all of 2011. This

means providers of therapy services will be reimbursed at the same rate in

2011 as they were in 2010 except for the 4%-6% negative impact as a result

of the Multiple Procedure Payment Reduction policy.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

[Guest guest]

The 20% discount is only the Practice Expense portion of the payment (as

opposed to the full payment which also includes Work and Malpractice

expense). The APTA has a nice calculator on their site to help you

understand the impact.

===================================

*Maureen Whitney*

*Business Manager*

Essex Physical Therapy

Essex Junction, VT

maureen@...

*From:* PTManager [mailto:PTManager ] *On

Behalf Of *Alice Wong

*Sent:* Tuesday, December 14, 2010 10:33 PM

*To:* ptmanager

*Subject:* RE: Medicare Payment Update

Rick,

If the MPPR is a 20% reduction on the 2nd and subsequent code on outpatient

therapy services, why is the negative impact only 4-6% in 2011?

Alice

To: ptmanager <ptmanager%40yahoogroups.com>

From: rick0905@... <rick0905%40yahoo.com>

Date: Thu, 9 Dec 2010 17:58:27 -0800

Subject: Medicare Payment Update

What a difference a day makes. On Wednesday, December 8th, the Senate passed

the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by

the House of Representatives today, December 9th. The President is expected

to sign the bill into law immediately. The bill stops the scheduled 25%

reduction in payments for therapy services under the Medicare Physician Fee

Schedule and extends the therapy cap exception process for all of 2011. This

means providers of therapy services will be reimbursed at the same rate in

2011 as they were in 2010 except for the 4%-6% negative impact as a result

of the Multiple Procedure Payment Reduction policy.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

[Guest guest]

So the Multiple Procedure Payment Reduction policy is indeed a done deal

then?

Joe Ruzich, PT

Pueblo, CO