Stop the Medicare part B therapy cap for outpatient services!

Posted by Keith Carson

| Skilled Nursing Facilities Trends

Under the Balanced Budget Act (BBA) of 1997, Congress placed an annual cap on therapy services for Medicare beneficiaries.  The “therapy cap” is an arbitrary limit on the amount of therapy services Medicare will pay for per beneficiary in a calendar year.  Congress has begun to recognize the cap's harmful effect and has acted several times to prevent a “hard cap”, which would eliminate the exceptions process for Medicare beneficiaries that need additional therapy services.  Regretfully, the most recent measures put in place to prevent implementation of the hard cap expire December 31, 2017! 

Please take a look at this short video from Kelly Cooney, our VP of Compliance and Training and the VP of the National Association of Rehab Agencies, to learn how you can help make a difference in stopping the cap!


Our friends at APTA (American Physical Therapy Association) have made is easy to contact your representative through the Patient Action Center that is available for anyone to use to contact their legislators.  Please visit the APTA Patient Action Center and make your voice heard! 

Thank you for supporting Medicare beneficiaries and increasing their access to therapy services so they can achieve their highest quality of life!



Author Bio:

Keith Carson is often “the first handshake” for Therapy Specialists’ new business partners. Responsible for finding, nurturing and growing strategic partnerships in the market, Keith is the point of contact for facilities considering values-driven contract therapy options. His background in medical and healthcare sales management includes tenures with start-ups and multi-million dollar companies that put him on the frontline with the likes of physical therapists, neurosurgeons and long term care facility managers. He calls on his vast experience and track record to strengthen and grow our business.