Anthem BCBS has implemented a revised policy that has implications for outpatient therapy services. This revised policy impacts what a therapist or assistant must document for time for therapy services provided. The following states are impacted by this change: To access the revised policy, log into your account and click

Cigna will be implementing a site of care policy for outpatient therapy services. What does this actually mean for private practices and hospital outpatient therapy departments? In this article, I will answer the following questions:

There is confusion as to whether or not a physician order can serve as the initial plan of care for an original Medicare beneficiary receiving outpatient therapy. In this article, I will answer the following questions:

UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click

Are you a speech-language pathologist (SLP)? Does your practice or organization provide speech therapy services? If you are answered yes to either question, you will want to read this article. UnitedHealthcare (UHC) Community Plan has published a list of CPT codes that are not reimbursable if billed by a SLP. To access this list, log into your account and click

The Centers for Medicare and Medicaid Services (CMS) has released the 2026 outpatient therapy threshold dollar amount. In 2026, for physical therapy (PT) and speech therapy (ST) combined, the amount will be

In this article, I will answer the following questions regarding billing and payment of neuromuscular reeducation provided to pediatric patients:

Aetna Medicare Advantage plans may not cover all the outpatient therapy services your patient requires. For the services that they do not cover, does this mean you can charge the patient cash? In this article, I will provide you answers to the following questions: