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To obtain coverage, a person must meet their Part B deductible before Medicare funds any outpatient physical therapy. For 2024, the Part B deductible is $240. Once a person has met this out-of ...
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Medicare Part B covers outpatient consultations and therapy sessions up to a limit of $2,330. After this, the healthcare provider will need to provide evidence that continuing treatment is ...
Therapy cap. In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or therapy cap, for outpatient physical therapy, occupational therapy and speech language pathology services covered under Medicare Part B. [1] Facilities affected by the therapy cap include: private practice, physician offices, skilled ...
Medicare has been operating for almost 60 years and, during that time, has undergone several major changes. Since 1965, the program's provisions have expanded to include benefits for speech, physical, and chiropractic therapy in 1972. [15] Medicare added the option of payments to health maintenance organizations (HMOs) [15] in the 1970s.
Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. [3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings.
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