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Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
Medicare Advantage plans cover physical therapy in line with parts A and B. However, some Advantage plans may require a person to use services from physical therapy practices within an agreed network.
The Government Accountability Office have concluded through an independent study that the therapy caps are not meeting the needs of patients. [7]The Study and Report on Outpatient Therapy Utilization by the Centers for Medicare and Medicaid Services (CMS) released in September 2002 concluded that older patients require more therapy than what the cap allowed: "patients who are female, older ...
Effective from May 2006 (May 2007 for small health plans), all covered entities using electronic communications (e.g., physicians, hospitals, health insurance companies, and so forth) must use a single new NPI. The NPI replaces all other identifiers used by health plans, Medicare, Medicaid, and other government programs. [61]
Advantage plans offer all the benefits of Original Medicare, covering physical, occupational, and speech therapy. The program also includes acupuncture and chiropractic services, which this ...
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Statutes and Regulations: Physical Therapy and Occupational Therapy: Arizona (Title 32, Ch. 19) Arizona State Board of Physical Therapy: Arizona Rev. Statutes, Title 32, Ch. 19: Arkansas (Ark. Code Ann. Sec. 17-93-403(a)(2)/-404) Arkansas State Board of Physical Therapy: Arkansas Physical Therapy Act: California (Business and Professions Code ...
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