Medicare and Medicaid programs; schedules of guidelines for physical therapy and respiratory therapy services: Health Care Financing Administration. Proposed notice.
This notice sets forth proposed schedules of salary equivalency guidelines for Medicare program reimbursement for the reasonable cost of physical therapy and respiratory therapy services furnished under an arrangement with a hospital or other provider. The schedules would be used by the program's fiscal intermediaries to determine the maximum allowable cost of such services. These schedules would revise the schedules published February 25, 1981, which were effective for services furnished on or after October 1, 1980. The revised schedules would apply to services furnished on or after October 1, 1981. For cost reporting periods beginning on or after November 1, 1981, the revised guideline amounts would be increased by an adjustment factor. (As explained in Supplementary Information below, some guideline amounts in these proposed revisions are lower than those contained in the schedules that were effective October 1, 1980. We are proposing, therefore, to have a transition period during which the higher of the revised guidelines or the October 1, 1980 guidelines would apply.) In addition, these guidelines would apply to reimbursement under the Medicaid program where they have been incorporated in the State plans or where States follow the Medicare principles of reimbursement.
D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence; D006278:Medicare / Q000331:legislation & jurisprudence; D026741:Physical Therapy Modalities / Q000191:economics*; D012138:Respiratory Therapy / Q000191:economics*; D014481:United States