UnitedHealthcare (UHC) Community Plan has revised their outpatient therapy policy. Summary of changes include the following: To access the revised policy, click

The fiscal year (FY)2025 ICD-10-CM diagnosis codes have been released. These 2025 ICD-10-CM diagnosis codes are to be used for outpatient physical, occupational, and speech therapy visits that occur between October 1, 2024 and September 30, 2025. In this article, I will highlight some of the additions to the FY 2025 ICD-10-CM that may have an impact on physical, occupational, and/or speech therapy services.

In this article, I will provide a variety of resources for providers who are and are not contracted with Humana for outpatient physical, occupational and speech therapy services.

UnitedHealthcare (UHC) Optum Healthcare Solutions will begin to require prior authorization for follow-up outpatient therapy visits for certain plans. In this article, I will answer the following questions:

On August 20, 2024, Federal Judge Ada Brown issued a nationwide ban blocking the implementation of the Federal Trade Commission’s noncompete ban. This means the noncompete ban will not go into effect on September 4, 2024 and all existing noncompetes are still valid.

In this article, I will answer which outpatient therapy settings can bill daily versus monthly to the Medicare program and other insurance carriers. Questions include the following:

Article Updated August 13, 2024: UnitedHealthcare (UHC) has announced they are going to require prior authorization for certain outpatient services. In this article, I will answer the following questions:

UnitedHealthcare (UHC) Medicare Advantage (MA) has revised their therapy policy that has implications for skilled nursing facilities, long-term acute care hospitals, and outpatient therapy providers which includes private practices, hospitals, and comprehensive outpatient rehabilitation facilities. The effective date of this revision is August 1, 2024. If you treat UHC MA patients, you need to read this policy. To access the revised policy, click