Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 were there any changes to stark laws packaged in this bill? Mark Niles PT, MS, CSCS Integratd Rehab > > From APTA > > VICTORY!!! > Congress Overrides Presidential Veto (HR 6331) > Legislation Enacted to Ensure Access to Critical Physical Therapy Services > for Seniors and Persons with Disabilities and Avoid Detrimental Cuts and > Caps to Health Care Providers. > > > This afternoon, the United States House of Representatives and the Senate > voted to override the Presidential veto to pass HR 6331 – the Medicare > Improvements for Patients and Providers Act. HR 6331 includes critical > provisions for physical therapists and their patients, including legislation > to avoid the 10.6% cut in payments under the Medicare physician fee schedule > and the expiration of the therapy cap exceptions process. The House passed > this legislation by a 383-41 vote and by a 70-26 Senate vote. A 2/3's vote > was needed by the House and the Senate to override the Presidential veto. > Once the Senate voted to approve HR 6331, it now becomes law immediately. > > HR 6331 – The Medicare Improvements to Patients and Providers Act > Provisions Critical to Physical Therapist Practice and the Patients We Serve > > An 18 month extension of the therapy cap exceptions process until December > 31, 2009 to ensure access for seniors and persons with disabilities to > physical therapy, occupational therapy, and speech-language pathology > services. > Continuation of the .5% update for the remainder of 2008 and a 1.1% update > for 2009 in the conversion factor to maintain adequate payments to providers > under the Medicare program. This provision overrides a scheduled 10.6% > reduction in payments under the Medicare physician fee schedule for the > reminder of 2008 and an additional 5.0% cut for 2009. > Extension of the Medicare Work Geographic Practice Cost Index (GPCI) under > the Medicare physician fee schedule to ensure payment equity and access to > services in rural America. > Increases the bonus payments for qualified providers that meet the criteria > for reporting under the Physician Quality Reporting Initiative (PQRI) from > 1.5% to 2.0% for 2009 and 2010 to improve quality in the Medicare program. > Delays competitive bidding of Durable Medical Equipment, Prosthetics, > Orthotics, and Supplies (DMEPOS) under Medicare for 18 months by voiding > Round 1 of the DMEPOS competitive acquisition program. This provision sets a > new process for competitive bidding. DMEPOS items included in round 1 will > be reduced by 9.5% to off-set the cost of this provision. > Improves Medicare coverage of prevention services for seniors and persons > with disabilities. > Expands scope and duration of previously authorized medical home > demonstration to improve access to primary health care. > Adds hospital-based or critical access hospital-based renal dialysis > centers, skilled nursing facilities, and community mental health centers to > list of originating sites for payment of telehealth services. > Thanks! > > The extensive advocacy by physical therapists and patients made the > difference! Thanks for your work to ensure Medicare beneficiaries access to > essential rehabilitation services provided by physical therapists and > physical therapy assistants. APTA will continue to advocate for long-term > policy solutions to the flawed payment formula, a permanent solution to the > therapy cap once and for all, and other Medicare policy initiatives. > > -- > Kovacek, PT, MSA > PKovacek@... > Cell > Personal Fax > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2008 Report Share Posted July 17, 2008 I'm not understanding the new 0.5 % payment... is it 5% over the 10.6, less than?? instead of??? is it, just for the 15 day window? please someone explain for me... and a 1.1% increase for '09? Mark Niles PT, MS, CSCS Integratrred Rehab PTManager , " seaniles " wrote: > > were there any changes to stark laws packaged in this bill? > > Mark Niles PT, MS, CSCS > Integratd Rehab > > > > > > > > > > From APTA > > > > VICTORY!!! > > Congress Overrides Presidential Veto (HR 6331) > > Legislation Enacted to Ensure Access to Critical Physical Therapy > Services > > for Seniors and Persons with Disabilities and Avoid Detrimental > Cuts and > > Caps to Health Care Providers. > > > > > > This afternoon, the United States House of Representatives and the > Senate > > voted to override the Presidential veto to pass HR 6331 – the > Medicare > > Improvements for Patients and Providers Act. HR 6331 includes > critical > > provisions for physical therapists and their patients, including > legislation > > to avoid the 10.6% cut in payments under the Medicare physician fee > schedule > > and the expiration of the therapy cap exceptions process. The House > passed > > this legislation by a 383-41 vote and by a 70-26 Senate vote. A > 2/3's vote > > was needed by the House and the Senate to override the Presidential > veto. > > Once the Senate voted to approve HR 6331, it now becomes law > immediately. > > > > HR 6331 – The Medicare Improvements to Patients and Providers Act > > Provisions Critical to Physical Therapist Practice and the Patients > We Serve > > > > An 18 month extension of the therapy cap exceptions process until > December > > 31, 2009 to ensure access for seniors and persons with disabilities > to > > physical therapy, occupational therapy, and speech-language > pathology > > services. > > Continuation of the .5% update for the remainder of 2008 and a 1.1% > update > > for 2009 in the conversion factor to maintain adequate payments to > providers > > under the Medicare program. This provision overrides a scheduled > 10.6% > > reduction in payments under the Medicare physician fee schedule for > the > > reminder of 2008 and an additional 5.0% cut for 2009. > > Extension of the Medicare Work Geographic Practice Cost Index > (GPCI) under > > the Medicare physician fee schedule to ensure payment equity and > access to > > services in rural America. > > Increases the bonus payments for qualified providers that meet the > criteria > > for reporting under the Physician Quality Reporting Initiative > (PQRI) from > > 1.5% to 2.0% for 2009 and 2010 to improve quality in the Medicare > program. > > Delays competitive bidding of Durable Medical Equipment, > Prosthetics, > > Orthotics, and Supplies (DMEPOS) under Medicare for 18 months by > voiding > > Round 1 of the DMEPOS competitive acquisition program. This > provision sets a > > new process for competitive bidding. DMEPOS items included in > round 1 will > > be reduced by 9.5% to off-set the cost of this provision. > > Improves Medicare coverage of prevention services for seniors and > persons > > with disabilities. > > Expands scope and duration of previously authorized medical home > > demonstration to improve access to primary health care. > > Adds hospital-based or critical access hospital-based renal dialysis > > centers, skilled nursing facilities, and community mental health > centers to > > list of originating sites for payment of telehealth services. > > Thanks! > > > > The extensive advocacy by physical therapists and patients made the > > difference! Thanks for your work to ensure Medicare beneficiaries > access to > > essential rehabilitation services provided by physical therapists > and > > physical therapy assistants. APTA will continue to advocate for > long-term > > policy solutions to the flawed payment formula, a permanent > solution to the > > therapy cap once and for all, and other Medicare policy initiatives. > > > > -- > > Kovacek, PT, MSA > > PKovacek@ > > Cell > > Personal Fax > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.