Senator Cardin Raises Question on Flawed Part B Therapy Manual Medical Review
Washington, D.C. – The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) today applauded Senator Ben Cardin (MD) for his leadership during yesterday’s Senate Finance Committee hearing with Health and Human Services (HHS) Secretary Kathleen Sebelius. During the hearing, Sen. Cardin reiterated his stalwart support for legislation that would repeal the use of therapy caps on Medicare Part B therapy services. The Senator raised the issue during his time of questioning Secretary Sebelius.
“On behalf of skilled nursing centers in Maryland and around the country, we commend Senator Cardin for his dogged determination on the critical need to lift these needless, arbitrary therapy caps,” said Mark Parkinson, President and CEO of AHCA/NCAL.
Sen. Cardin stressed the point that the current cap on therapy services - currently $1,920 yearly - is not good health policy. He also pointed out that the therapy claims review process, known as manual medical review (MMR), could be problematic both financially and physically for Medicare beneficiaries if access to services is compromised. The Senator noted concerns that the flawed MMR process could prevent “timely payments” to providers of therapy services.
AHCA/NCAL is a member of the Therapy Cap Coalition of beneficiaries, families, therapists and providers who for years have been calling for the repeal of the arbitrary cap on Medicare therapy services, and more recently, has also urged reform of the MMR claims review process.
The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represent more than 12,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and developmental disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day. For more information, please visit www.ahca.org or www.ncal.org.