sutures newsletter


Physician honors

- George Berci, MD, FACS

- Philip K. Frykman, MD, PhD, FACS, FAAP

- Hyung L. Kim, MD

Congenital heart disease expert joins Cedars-Sinai Heart Institute

Evan Zahn, MD, an expert in treating children born with life-threatening structural heart problems, has joined the Cedars-Sinai Heart Institute to advance the study of congenital heart disease and develop more minimally invasive treatments.

Upcoming CME conferences

Grand rounds

Click here to view upcoming grand rounds.

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Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

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Changes to Medicare reimbursement for outpatient therapy services start Oct. 1

There has been a recent change in policy regarding the reimbursement of outpatient therapy services by Medicare. These changes, established by the Middle Class Tax Relief and Job Creation Act of 2012 extended the annual outpatient therapy caps to services provided by hospital-based therapy clinics.

This policy becomes effective on Oct. 1, 2012.

How this impacts your patients:

  • An annual reimbursement cap of $1,880 for occupational therapy
  • A total of $1,880 to be shared by physical AND speech therapy
  • The annual reimbursement caps are retroactive to Jan. 1, 2012, and any services received during the entire calendar year will be counted toward this cap.

What Cedars-Sinai Outpatient Rehabilitation Services plans to do to address this change:

  • Provide patient education to advise them of the change in their benefits
  • Monitor the caps and advise them of when they are nearing their limits
  • Re-examine the delivery of care to improve the efficiency of care provided with greater emphasis on patient involvement and participation in their rehab program

What Outpatient Rehabilitation Services asks of our referring physicians:

  • Reinforce the recommendations of the treating therapists with the patients
  • Emphasize the importance of patient compliance with home programs and recommendations to maximize the benefits of therapy
  • Discourage patient requests for referrals to address chronic conditions that are unchanged and don’t require skill-therapy intervention
  • Emphasize the utilization of therapy at times when there are changes in status (e.g.: physical or medical), a decline or change in function (falling, increased difficulty with activities of daily living and other functional activities, cognition, increased pain, etc.) or for preventative reasons – when education or early training can prevent or reduce the likelihood of a physical, medical and/or functional decline

Cedars-Sinai Outpatient Rehabilitation Services includes: Adult Orthopedic Physical Therapy Clinic, Occupational Therapy Hand Clinic, Voice and Speech Therapy Services, Neurological Rehabilitation Program and Fibromyalgia and Chronic Pain Program.