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09/25/23

New Place of Service Code 27

In this article, I will provide answers to the following questions regarding the new place of service (POS) code 27.

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09/18/23

Aetna to Implement Assistant Payment Reduction

Article Updated on October 26, 2023 Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapist assistant or an occupational therapy assistant. In this article, I will provide answers to the following questions:

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09/11/23

UnitedHealthcare Medicare Advantage and Vision Therapy

UnitedHealthcare (UHC) Medicare Advantage (MA) has revised their coverage summary for vision therapy. In this same policy, UHC MA provides coverage guidelines for biofeedback, cognitive therapy, aquatic therapy, fluidotherapy and other therapy services. To access this policy, click

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09/11/23

UnitedHealthcare Revises Habilitation and Rehabilitation Therapy Medical Policy: November 2023

UnitedHealthcare (UHC) has revised their Habilitation and Rehabilitation Therapy medical policy once again with an effective date of November 1, 2023. To access the UHC Commercial and individual Exchange Policy, click To access the UHC Oxford clinical policy, click To access the UHC Community Plan medical policy, click

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09/04/23

UnitedHealthcare Eliminates Prior Authorization for Some Outpatient Therapy Services

UnitedHealthcare (UHC) has published a list of CPT codes billed by physical and occupational therapists that will no longer require prior authorization. Continue reading below to find out which CPT codes are being removed from requiring prior authorization for the various UHC plans.

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08/29/23

Can Assistants Write Discharge Reports?

A question I am often asked is can a physical therapist assistant (PTA) or an occupational therapy assistant (OTA) write discharge reports on Medicare beneficiaries as well as patients with commercial or other insurance coverage? The answer to this question is

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08/22/23

Medicare Beneficiary Identifier Changing for Some Beneficiaries

The Centers for Medicare and Medicaid Services (CMS) is mailing new Medicare cards with a new Medicare Beneficiary Identifier (MBI) to approximately 47,000 Medicare beneficiaries due to a data breach. To learn what to do if your Medicare patients MBI has changed, click

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08/21/23

FY 2024 ICD-10-CM Updates

ICD-10-CM codes are updated annually and are effect from October 1st of one year through September 30th of the following year. The fiscal year (FY) 2024 ICD-10-CM codes have been released and will be effective with dates of service October 1, 2023 – September 30, 2024.

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