Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.11

A/B MAC (A) - Pulmonary Rehabilitation, Physical Therapy,

Last amended: 2017Year: 2017Length: 129 wordsOfficial source
100.11 - A/B MAC (A) - Pulmonary Rehabilitation, Physical Therapy, Occupational Therapy, Speech-Language Pathology and Diagnostic Audiology Services - Payment Policy (Rev. 3897, Issued: 10-27-17, Effective: 01-01-10, Implementation: 04-02-18) Effective January 1, 2006, IHS providers are paid separately from the AIR for physical therapy, OT, speech-language pathology and diagnostic audiology services. Payment for services to IHS providers on TOB 12X or 13X is made based on the MPFS. Payment for services to IHS CAHs on TOB 85X is made based on reasonable cost. Effective January 1, 2010, IHS providers are paid separately from the AIR for Pulmonary Rehabilitation services. Payment for services to IHS providers on TOB 13X is made based on the MPFS. Payment for services to IHS CAHs on TOB 85X is made based on reasonable cost.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.11: A/B MAC (A) - Pulmonary Rehabilitation, Physical Therapy, | Justis AI