|
|
Fiscal Intermediary Links to Therapy Cap Exception Documents
Home » News » Fiscal Intermediary Links to Therapy Cap Exception Documents |
The Centers for Medicare and Medicaid Services (CMS) has mandated that each fiscal intermediary (FI) institute a process for responding to Part B therapy cap exception requests. The links below will direct you to the process and/or forms (when specified) that are necessary for each individual FI.
BCBS of AR (Pinnacle, a Mutual Company)
(AR, OK, MO, RI)
Process:
http://www.arkmedicare.com/provider/viewarticle.aspx?articleid=3031
(No form specified)
BCBS of GA
(GA)
Process (see page 40 of this linked document):
http://www.georgiamedicare.com/provider/bulletins/bltn.2175.pdf
(No form specified)
BCBS of KS
(KS, MO, NE)
Process:
http://www.kansasmedicare.com/part_B/med_review/articles/031006_OutpatientTherCapExceptions.htm
Form:
http://www.kansasmedicare.com/part_B/partB_forms/CAP_Exception_Req.pdf
Empire
(NY, NJ, MA)
Process:
http://www.empiremedicare.com/Therapy_B/process.htm
Form for NJ:
http://www.empiremedicare.com/Therapy_B/mc9301_NJ_%20form.pdf
Form for NY:
http://www.empiremedicare.com/Therapy_B/mc9302_NY_%20form.pdf
Mutual of Omaha
(Some national contracts)
Process:
http://www.mutualmedicare.com/news/20060310_02.html
Form for SLP:
http://www.mutualmedicare.com/pdf/news/therapycap_speechtherapy.doc
Form for OT:
http://www.mutualmedicare.com/pdf/news/therapycap_occupationaltherapy.doc
Form for PT:
http://www.mutualmedicare.com/pdf/news/therapycap_physicaltherapy.doc
Noridian
(Also processes Part B claims for BCBS of AZ and Medicare Northwest)
(AK, AZ, CO, HI, IA, ND, NV, OR, SD, UT, WA,WY)
Process:
http://www.noridianmedicare.com/provider/updates/docs/Therapy%20Caps%20Exceptions%20Requesting%20Process.pdf
Form:
http://www.noridianmedicare.com/provider/updates/docs/Therapy%20Caps%20Exception%20Form.pdf
Noridian
(AK, MN, ND, WA, ID, OR, UT)
Process:
http://www.noridianmedicare.com/cgi-bin/coranto/viewnews.cgi?id=EEukpppZkEJQhXKnJW&tmpl=part_a_viewnews&style=part_ab_viewnews
Form:
http://www.noridianmedicare.com/provider/updates/docs/thercaps_request.pdf
TriSpan
(Some national contracts)
Process and Form:
http://www.trispan.com/bulletin/2006/2006-101snf.pdf
United Government Services (UGS)
(Some national contracts)
Process:
http://www.ugsmedicare.com/providers/medical_review/CAP_Exceptions.asp
Form:
http://www.ugsmedicare.com/providers/medical_review/documents/Therapy/COVERSHEET%20Draft2.doc
|
|
|
|
|