Medicare Part B provides coverage for many types of therapy services. This document serves as a guide to direct professionals to additional resources regarding rehabilitation therapy services, coverage requirements, payment systems, and points of contact for further information.

HIGHLIGHTS:  The most recent topics of interest to those who provide services to Medicare Part B patients are:

• Due to the Tax Relief and Health Care Act, changes are pending that affect materials posted to our website.  These changes include removal of some items for update to reflect legislative changes.  We expect to have new or updated materials shortly.  For services provided in 2006, continue to follow the instructions for 2006 claims.

The Medicare contractor who pays your claims is the best source of answers to specific Medicare questions. Contractors are Carriers, Intermediaries, or Program Safeguard Contractors who interpret Medicare laws, develop local policies, and educate providers. Please use the Medicare Contractors Toll-free Customer Service websites and toll-free phone numbers for local coverage policy and other general instructions.

If you are have difficulty communicating with your contractor, use the Regional Office Contacts web page to identify the CMS Regional Office servicing your area of operations and utilize either the toll-free number or mailing address for assistance.

Downloads
Medicare Claims Processing Manual, Chapter 5, Sections 10, 20, 30, 40, 100 [PDF, 431KB] Medicare Benefit Policy Manual, Chapter 15, Sections 220 and 230 [PDF, 831KB] CR 3648: Changes to Chapter 15, Sections 220 and 230 [PowerPoint Zipped, 84KB] CR 4115 [PDF, 173KB] MM4115 [PDF, 306KB] CR4226 [PDF, 375KB] CR5253 [PDF, 223KB] Rehabilitation Therapy Information (January 2008) [PDF 451KB]
Related Links Inside CMS
Regional Offices National Correct Coding Initiative Edits
Related Links Outside CMS
APTA - American Physical Therapy Association AOTA - American Occupational Therapy Association ASHA - American Speech-Language-Hearing Association

Page Last Modified: 02/07/2008 10:23:10 AM
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