Financial and Business Issues: Exceptions Process for Therapy Caps Affecting Speech-Language Pathology Therapy caps were imposed by Medicare as a requirement of the Balanced Budget Act of 1997. The caps went into effect in 1999 and combined the cost of therapy services for physical therapy (PT) and speech-language pathology. Occupational therapy (OT) had its own cap apart from PT and SLP. ... Article
Article  |   June 01, 2006
Financial and Business Issues: Exceptions Process for Therapy Caps Affecting Speech-Language Pathology
Author Affiliations & Notes
  • Robert Fifer
    Mailman Center for Child Development, Miami, FL
  • Peter R. Johnson
    Select Medical Rehabilitation Services, Clearwater, FL
  • Peter R. JohnsonColumn Editor
Article Information
Speech, Voice & Prosodic Disorders / Professional Issues & Training / Regulatory, Legislative & Advocacy / Financial and Business Issues
Article   |   June 01, 2006
Financial and Business Issues: Exceptions Process for Therapy Caps Affecting Speech-Language Pathology
SIG 11 Perspectives on Administration and Supervision, June 2006, Vol. 16, 5-7. doi:10.1044/aas16.2.5
SIG 11 Perspectives on Administration and Supervision, June 2006, Vol. 16, 5-7. doi:10.1044/aas16.2.5
Therapy caps were imposed by Medicare as a requirement of the Balanced Budget Act of 1997. The caps went into effect in 1999 and combined the cost of therapy services for physical therapy (PT) and speech-language pathology. Occupational therapy (OT) had its own cap apart from PT and SLP. However, the caps have come and gone over the past 6 years due to a series of legislative initiatives that placed moratoria on limiting payments for therapy services from 2000-2002, most of 2003 and 2004-2005. The latest moratorium ended on December 31, 2005. The caps returned in full effect on January 1, 2006. The limits imposed by the caps apply to each beneficiary for outpatient therapy services with a dollar amount for each cap of $1,740. As before, one cap is for PT and speech-language pathology together. The other cap is for OT by itself.
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