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Better Speech and Hearing Month

Exceptions Process Alert
CMS Provides Additional Instruction on KX Modifier

The Centers for Medicare and Medicaid Services (CMS) has identified a glitch in the use of the KX modifier for exceptions to the therapy cap on claims processed by Medicare fiscal intermediaries (FIs) and has issued revised instructions on the use of the modifier.

Effective immediately, providers should insert the KX modifier on all speech-language pathology and physical therapy line items on the same claim form, if the KX modifier is appropriate for at least one of the SLP or PT services on the intermediary claim form. Claims with a KX modifier that have been denied by the FI due to this processing error should be resubmitted for payment.

In a recently released article published by CMS in its MedLearn Matters, the agency states that providers will not be penalized for using the KX modifier on medically necessary services that would be eligible for an exception when those services are below the cap and filed on the same claim form as services that meet the exceptions process criteria and appropriately use the KX modifier. The MedLearn Matters article can be found here.

Additional information on the therapy caps exceptions process can be found here. Questions about the exceptions process or the new claims processing requirements can be directed to Ingrida Lusis, ASHA’s Director of Health Care Regulatory Advocacy.

2008 Minority Student Leadership Program
Call for Applications is Now Open!

The Minority Student Leadership Program is open to students who wish to enhance their leadership skills, interact with leaders in the professions, and learn how their association works. Now in its 10th year, this program has given over 275 students from racial/ethnic minority backgrounds insight into their leadership abilities, a better understanding of how leaders affect change within ASHA, and has empowered these students to take risks and meet their own challenges. All students are eligible to apply; however, preference will be given to students from racial/ethnic minority backgrounds that have historically been under-represented in the Association. Visit MSLP FAQ’s for more information and to download an application packet.

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