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CMS-1403-FC
therapy and speech-language pathology services combined and
$1840 for occupational therapy services, separately. The
MIPPA does not create a separate cap for SLP services.
I. Section 143: Speech-Language Pathology Services
1. Background
Currently, therapy services [physical therapy (PT),
occupational therapy (OT), and speech-language pathology
(SLP)] may be billed by providers, such as hospitals, and
by suppliers, such as physicians or NPPs. Physical
therapists and occupational therapists may also
independently enroll as suppliers of Medicare services, and
may bill and receive payment for their services furnished
in private practice. Prior to enactment of the MIPPA, the
statute did not allow SLPs to enroll independently and to
be paid directly.
The amendments made by section 143 of the MIPPA
provide the authority for CMS to enroll speech-language
pathologists as suppliers of Medicare services, and for
speech-language pathologists to begin billing Medicare for
outpatient SLP services furnished in private practice
beginning July 1, 2009. Enrollment will allow SLPs in
private practice to bill Medicare and receive direct
payment for their services.
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