2017 Therapy Caps Under Medicare

Members & Publications

December 5, 2016

The Centers for Medicare & Medicaid Services (CMS) has released the amounts for therapy caps for CY 2017. For physical therapy and speech language-pathology combined, the 2017 therapy cap will be $1,980. For occupational therapy, the cap for 2017 will be $1,980. An exception for the therapy caps for reasonable and medically necessary services has been in place since CY 2006. The current therapy caps exceptions process expires on December 31, 2017.

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.