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05/10/21

UHC Community Plan Revises Cognitive Rehabilitation Medical Policy

UnitedHealthcare (UHC) Community Plan has revised their Cognitive Rehabilitation medical policy for the states of Nebraska and Tennessee. To access the revised policy for Nebraska, click I hope you found this information helpful. Thank you for being a Gold Member!

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05/03/21

Can Therapists Utilize Aides/Techs with Cigna Patients?

QuestionDoes Cigna allow a physical therapist (PT) to utilize a rehab aide/tech to provide delegated patient-related tasks to an Cigna beneficiary receiving outpatient physical therapy services under their direct supervision and bill for those services to Cigna? Answer I hope you found this article helpful to your practice or organization. Thank you for being a Gold Member!

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05/03/21

Can Therapists Utilize Aides/Techs with Aetna Patients?

QuestionDoes Aetna allow a physical therapist (PT) to utilize a rehab aide/tech to provide delegated patient-related tasks to an Aetna beneficiary receiving outpatient physical therapy services under their direct supervision and bill for those services to Aetna? Answer I hope you found this article helpful to your practice or organization. Thank you for being a Gold Member!

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04/28/21

Cigna Updates Telehealth Coverage for Facility Settings

Cigna has provided an update regarding outpatient physical, occupational and/or speech therapy services delivered via telehealth in a facility setting. This would include providers who submit claims on a UB-04 claim form to Cigna. The update is as follows: I hope you found this article helpful! Thank you for being a Gold Member!

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04/27/21

IRS Provides Guidance on 100% Deductions for Meals and Beverages

On April 8, 2021, the Internal Revenue Service (IRS) issued Notice 2021-25 that provides guidance on the temporary exception that allows a business a 100% deduction for food or beverages from restaurants. Beginning January 1, 2021, through December 31, 2022, businesses can claim 100% of their food or beverage expenses paid to restaurants as long as the business owner (or an employee of the business) is present when food or beverages are provided and the expense is not lavish or extravagant under the circumstances. Per the IRS, under the temporary provision, restaurants include businesses that prepare and sell food or

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04/26/21

Do Medicare Beneficiaries Have Unlimited Outpatient Therapy Benefits?

One of my Medicare patients called the Medicare program to ask them about outpatient therapy benefits and they were told that they have unlimited outpatient therapy benefits. Is that true? Let me provide the answer to that question below with the reference to support my answer. QuestionDo Medicare beneficiaries have unlimited outpatient therapy benefits? Answer I hope this article has assisted you in explaining outpatient therapy benefit coverage to your Medicare beneficiaries. Thank you for being a Gold Member!

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04/26/21

UnitedHealthcare Extends Telehealth Coverage for Their Medicare Advantage Plans

UnitedHealthcare (UHC) has announced they have once again extended coverage of outpatient physical, occupational and speech therapy services delivered via telehealth for their Medicare Advantage beneficiaries. UHC will cover all in-network and out-of-network outpatient therapy telehealth services as outlined Thank you for being a Gold Member!

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04/20/21

UHC Community Plan Revises SLP Coverage Determination Guideline

UnitedHealthcare (UHC) Community Plan has issued a revised Speech Language Pathology Services Coverage Determination Guideline (CDG). The effective date of this revised CDG is May 1, 2021 and only applies to the states of Arizona, California, Hawaii, Kansas, Maryland, Michigan, New York, Ohio, Pennsylvania, Rhode Island, Virginia, Washington, and Wisconsin. To access the revised policy, click I hope you found this article helpful. Thank you for being a Gold Member.

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