Home Policy Areas Medical Rehab CMS Posts Update on Manual Medical Review for Outpatient Therapy Services
CMS Posts Update on Manual Medical Review for Outpatient Therapy Services
On February 9, 2016, the Centers for Medicare and Medicaid Services (CMS) posted this update to the “Therapy Cap” page on their website, regarding manual medical review (MMR) of therapy claims above the $3,700 threshold. The guidance is vague and additional information is needed for clarification. Members that provide outpatient therapy services should be cognizant that MMR will resume in the near future and should comply with medical record requests issued by Strategic Health Solutions.