Medicare Financial Limitations on Outpatient Rehabilitation Services

Utilization and Alternatives - This report and the attached studies respond to the requirement in the Balanced Budget Act of 1997 (BBA) Sec 4541(d)(2) subsequently modified by Balanced Budget Refinement Act of 1999 (BBRA) Sec 221(c) and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) Sec 624(b) for recommendations on alternative approaches to the therapy caps and the requirement in BBRA Sec 221(d) as modified by MMA Sec 624(b)for a study of utilization patterns for therapy services from 1998 through 2000 with medical review of claims.