Are you participating in the 2026 MIPS program and reporting quality measures via a registry? If yes, below are the applicable quality measure specifications for all 3 disciplines. Sign into your account to access the quality measure specifications.

Are you participating in the 2026 MIPS program and reporting quality measures via Medicare Part B claims? If yes, below are the applicable quality measure specifications for all 3 disciplines. Sign into your account to access the quality measure specifications.

CMS has released the 2026 Quality Measure Specifications for Quality Measures reported via Medicare Part B claims and a Registry. To access, go to

Each year, the Centers for Medicare and Medicaid Services (CMS) issues the dollar amount that must be met in order to appeal to the Administrative Law Judge (ALJ). For calendar year 2026, that dollar amount is

Each year, the Centers for Medicare and Medicaid Services (CMS) updates the annual therapy code list. This list applies to outpatient physical, occupational, and speech therapy services. This list tells outpatient therapy providers which CPT codes require the discipline specific modifier (GN, GO, GP) be appended to them when provided under an outpatient therapy plan of care. For 2026, CMS is adding 3 CPT codes to this list as sometimes therapy codes. To access the 2026 annual update, log into your account and click

The Centers for Medicare and Medicaid Services (CMS) has provided updated guidance regarding the use of a physician referral as the initial certification. To access this updated guidance, click

The National Correct Coding Initiative (NCCI) Edits Version 32.0 are in effect for dates of service January 1, 2026 – March 31, 2026. NCCI edits are used in all outpatient therapy settings for original Medicare and Medicaid beneficiaries. In addition, some Medicare Advantage plans, commercial insurers, and workers compensation programs also utilize the NCCI edits. Gawenda Seminars & Consulting has created a NCCI Edit therapy specific reference sheet for both Medicare and Medicaid. These reference sheets will inform providers when modifier 59 is required on a CPT code on the claim form. In addition, the reference sheet will inform providers

The Centers for Medicare and Medicaid Services (CMS) has issued an updated teleahealth FAQ document. To access this document, log into your account and click