Leg-Reg Update
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Committee “Discussion Draft” Details<br />
• Repeals Therapy Cap as of January 1, 2018.<br />
• Continues the KX modifier indicating services are medically necessary over<br />
$2,010 (the previous therapy cap amount).<br />
• Medical review process above a dollar threshold is continued.<br />
• Threshold for medical review is lowered to $3,000 (currently at $3,700) for<br />
PT and SLP claims and $3,000 for OT claims.<br />
• After 2028, the $3,000 threshold can increase by the Medicare Economic<br />
Index.<br />
NASL Winter Conference<br />
February 7, 2018<br />
Washington, DC
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