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Medicare Update: Physical Therapy Cap Exceptions Is Back

Posted Oct 07 2008 7:19pm

Yesterday both the House of Representatives and the Senate override the President's veto of bill HR6331/S3101. The House vote was 383 - 41, while the Senate voted 70 - 26. Congress accomplished two-thirds of the vote to allow the bill to be override.  It's amazing when Congress wants to accomplish something how fast they can move.  This should happen all the time.
                                   The key points to bill HR6331/S3101 for physical therapy.

The therapy cap exceptions process is extended to December 31, 2009. This applies not only to physical therapy ,also to occupational therapy and speech-language pathology services.
An increase of .5% in 2008 for conversion factor in physician fee schedule.  There will be a 1.1% increase in 2009 for conversion factor.  The reduction of physician fee schedule will not occur.
An increase of 2.0% in the Physician Quality Reporting Initiative bonus payment program. This will occur in 2009 and 2010.
Improve Medicare coverage of prevention services for seniors and persons with disabilities.

Congress did the right thing for now.  We still need to think outside the box to develop a cost effective  system.  The first wave of the baby boomers will hit the system in 2011.  We have two years to seriously  decided upon the future of Medicare and find a solution.  We are a little behind the eight ball.

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