Always vs Sometimes Therapy Codes: What’s the Difference?

The Centers for Medicare and Medicaid Services (CMS) has defined the CPT codes most commonly utilized by providers of outpatient physical and occupational therapy as well as speech-language pathologists as either “always therapy” codes or “sometimes therapy” codes. In this article, I will explain the following: The difference between “always therapy” and “sometimes therapy” codes Which…

TRICARE and Use of Assistants: Update

The United States House of Representatives and the United States Senate have both passed a bill that would allow physical therapist assistants and occupational therapy assistants, under the direction and supervision of a physical therapist and occupational therapists, respectively, to treat TRICARE beneficiaries. The bill now goes to President Trump and we are awaiting his…

CMS Releases 2018 Final Rule for Services Paid Under the MPFS

On November 2, 2017, the Centers for Medicare and Medicaid Services (CMS) released the final rule for services paid under the Medicare Physician Fee Schedule (MPFS). This final rule impacts providers and suppliers of outpatient physical and occupational therapy services as well as speech-language pathology services. This would include outpatient therapy services provided in the…