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Once again, it's decision time for DC lawmakers: Congress approaches another Medicare payment deadline.(the view from capitol hill)

LAST YEAR, THE HOUSE OF REPRESENTATIVES passed the Children's Health and Medicare Protection (CHAMP) Act (HR 3162) to provide therapists and physicians with a payment increase of 0.5% in 2008 and an additional 0.5% in 2009. The legislation also would have extended the therapy cap exceptions process and ordered the Centers for Medicare and Medicaid Services (CMS) to do yet another study on the use of outpatient therapy services.

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Despite this accomplishment in the House, the Senate stalled over how to pay for a simple 0.5% increase in the reimbursement rate for 1 or 2 years, without any long-term revisions to the formula. Several Senators on the ...

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