Part Three: Med B Cap Extension
It took a few months to work the bugs out of the Medicare Part A changes, but, we’ve done a pretty good job in minimizing its effects. From 2000 to 2006, there was a moratorium to the caps while Congress and CMS considered alternative ways to pay for therapy services. The exception process was devised to enable beneficiaries with Medical Necessity for services beyond the cap, to still retain access to services; in the first year, a Manual and Automatic Exception Process was established, and then the automatic exception became the only mode. Each year since then, Congress has extended the exception process. In 2010 the financial limit on the cap was $1860 and has been increased to $1870 for 2011. Every year since the implementation of Medicare Part B Caps and the Exception Process, we wait to see if the government will come up with a better alternative, or, extend the Cap while further research is conducted.
Well, there was Good News and Bad News! The Good News: The Part B Cap has been extended through December 2011. The Bad News: MPPR was implemented on January 1st 2011. Can things get any worse?