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12/11/23

Medicare Payments 2020 – 2022

In this article, I will provide information on the number of units billed for the most common CPT codes billed by physical therapists, occupational therapists and speech-language pathologists to the Medicare program for calendar years 2020, 2021, and 2022. I will also provide you with the amount of money the Medicare program reimbursed for each CPT code for calendar years 2020, 2021, and 2022.

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12/05/23

Aetna Revises the End of Some Telemedicine Services

In September 2023, Aetna announced they will no longer reimburse for some telemedicine services for their commercial line of business. Now, Aetna has revised who these changes will apply to. In this article, I will answer the following questions, including which plans this change applies to:

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12/04/23

New Laser CPT Code for 2024

There will be a new CPT code for low-level laser in 2024. In this article, I will answer the following the questions:

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12/04/23

UnitedHealthcare Oxford December 2023 Policy Update

UnitedHealthcare (UHC) Oxford has retired the following policy that impacts physical and occupational therapy:

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12/04/23

UnitedHealthcare Community Plan Cognitive Rehabilitation

UnitedHealthcare (UHC) Community Plan has revised their Cognitive Rehabilitation Medical Policy. To access this revised policy, click

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11/20/23

CMS Adds Additional Services That Audiologists Can Bill Without a Physician Referral

On November 28, 2022, I published an article titled “CMS to Allow Audiologists to Furnish Certain Services without a Physician Order“. In this article, I provided you with the information that allowed audiologists to provide 36 tests and bill those tests to the Medicare program without requiring a physician order beginning on January 1, 2023. Effective January 1, 2024, the Centers for Medicare and Medicaid Services (CMS) is adding 2 additional CPT codes to the current list. These codes and their descriptors are:

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11/20/23

CMS Revises 855I Application Form

The Centers for Medicare and Medicaid Services (CMS) has revised the 855I Form for Medicare enrollment. In this article, I will answer the following questions:

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11/03/23

CMS Releases CY 2024 Medicare Physician Fee Schedule Final Rule

On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings in calendar year 2024. In this article, I will inform you of what CMS finalized on the following topics:

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