Medicare Outpatient Therapy Services Selected Analyses and Recommendations

Medicare's outpatient therapy benefit covers services for physical therapy, occupational therapy, and speech-language pathology. These services can be beneficial when medically necessary but may be subject to inappropriate use. Outpatient therapy services are designed to restore function that patients have lost due to illness or injury and to help patients maintain improved function. This book examines methods of improving Medicare's payment system for outpatient therapy services; discusses the implementation of the 2012 manual medical review process; analyses the billing procedures involved in Medicare outpatient therapy services; and finalises the discussion with payment systems available for outpatient therapy services.