A cap on Medicare reimbursement of therapy is forcing providers to adjust their operations and advocate with increasing urgency to federal lawmakers. Under a 1997 law, Congress put an annual cap on the amount of money that Medicare beneficiaries can receive for rehabilitation services. Therapy providers and other stakeholders have long advocated for the cap to be lifted, pointing out that it is an impediment to medically necessary care, and that Congress has repeatedly implemented an exceptions process that keeps the cap from being enforced. “If each [therapy] visit is roughly $100 worth of billing … that’s roughly 20 visits or so, so we do have cases that are approaching this cap,” Travis King, vice president of quality assurance and professional development at Fox Rehabilitation, told Home Health Care News. New Jersey-based Fox specializes in providing PT, OT and speech therapy in people’s homes under what it terms a Geriatric House Calls model; its practice spans 16 states, and the company works with home health providers. READ MORE