Medicare to Pay Critical Access Hospitals Above Annual Therapy Cap

CMS clarified that critical access hospitals will not need to apply for special exemption when providing outpatient therapy treatments to Medicare patients who have exceeded their annual payment cap for such services, according to the American Hospital Association.

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AHA said CMS may revisit the issue in the future, but for now critical access hospitals will be reimbursed for therapy treatments without applying a modifier or requesting an exemption, although the payments will still be counted to the beneficiary’s annual payment cap.

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