The APTA estimates the 50% MPPR policy will reduce Medicare payments by approximately 6-7 percent for the typical therapy practice. To escape being caught by a nasty financial surprise, you need to accurately calculate Medicare MPPR and have visibility into how MPPR is impacting your cash flow and revenues. That’s where Clinicient helps with the proven processes, reporting tools and insight so you:
The results? With Clinicient, you’re notified—and prepared—to keep on top of Medicare therapy caps, manual medical review and other requirements.
Clinicient’s single system delivers the end-to-end processes, controls and visibility to manage MPPR, other Medicare requirements and maximize reimbursements.
You know exactly when to apply KX modifiers and when a patient is near the MMR threshold. You’ll also see any discrepancies between what you expected to get paid and what was allowed so you can work claims to get paid the full amount you’re owed.
Clinicient automatically calculates MPPR based on a built-in RVU table. It also provides therapy cap and MMR tracking, alerting and management based on MPPR calculations.
Revenue reporting tools help you forecast the impact of MPPR on cash flow and revenues.
As of April 1, 2013, Medicare’s multiple procedure payment reduction (MPPR) reduced payment for practice expense from 50 percent for the second and subsequent therapy procedures furnished to the same patient on the same day even if they are in multiple disciplines (PT, OT, SP). The amount Medicare pays is what is counted toward the $1960 therapy caps and the $3700 thresholds.
MPPR reduces Medicare payment for practice expense on 2nd and subsequent procedures to the same patient on the same day.
MPPR applies to all therapy services for a patient on the same day, even if they are in one or multiple disciplines (PT, OT, SP).
Learn how Clinicient can help you simplify manual medical review with Jerry Henderson, PT.