UnitedHealthcare Medicare Advantage August 2022 Coverage Summary Update
UnitedHealthcare Medicare Advantage has updated their coverage summary for speech generating devices. To access the updated coverage summary for speech generating devices, click
UnitedHealthcare Medicare Advantage August 2022 Coverage Summary Update
UnitedHealthcare Medicare Advantage has updated their coverage summary for speech generating devices. To access the updated coverage summary for speech generating devices, click
UnitedHealthcare Community Plan August 2022 Updates
UnitedHealthcare Community Plan has revised their coverage determination guidelines for Speech Language Pathology Services and Outpatient Physical and Occupational Therapy. These revised guidelines apply to the state of Nebraska. To access the revised guidelines, click
UnitedHealthcare Community Plan of Arizona August 2022 Update
UnitedHealthcare Community Plan of Arizona has published an update for rehabilitative therapy services for Arizona Medicaid. To access this update, click
CMS Releases FY 2023 IRF Final Rule
On July 27, 2022, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2023 final rule for Inpatient Rehabilitation Facilities (IRFs). Highlights of the final rule include: CMS estimates that overall IRF payments for FY 2023 will increase by 3.2% relative to payments in FY 2022 CMS is finalizing a permanent 5% cap on annual wage index decreases to smooth year-to-year changes in providers’ wage index payments CMS is finalizing a policy to expand the IRF quality data reporting requirements, which currently apply to all admitted IRF patients with Medicare Part A fee-for-service (FFS) and Medicare
CMS Releases FY 2023 SNF Final Rule
On July 29, 2022, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2023 Skilled Nursing Facility (SNF) final rule. Highlights of the final rule include the following:
BCBS of Massachusetts Changes for Outpatient Therapy
BCBS of Massachusetts will be retiring online services on August 12, 2022. Since BCBS of Massachusetts requires a referral for outpatient rehabilitation and home health care, providers of therapy services must begin using the new system by August 12, 2022. To access this information and be ready for August 12, 2022, click
Physicians Certifying an Outpatient Therapy Plan of Care
In this article, I will answer the following questions regarding physicians and nonphysician practitioners certifying and recertifying an outpatient therapy plan of care:
Must Medicare Advantage Plans Cover Maintenance Therapy
QuestionMust Medicare Advantage plans cover maintenance therapy in the same manner that traditional Medicare covers maintenance therapy? Answer