On July 27, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2024 Inpatient Rehabilitation Facility (IRF) final rule. To access the final rule, click HERE. To access the Fact Sheet on the FY 2024 final rule, click HERE.

On July 31, 2024, the Centers for Medicare and Medicaid Services released the fiscal year (FY) 2024 Skilled Nursing Facility (SNF) final rule. To access the final rule, click HERE. To access the CMS Fact Sheet on this final rule, click HERE.

Beginning with dates of service on and after January 1, 2024, there will be 3 new CPT codes describing caregiver training services. In this article, I will answer the following questions:

UnitedHealthcare (UHC) has once again revised their Habilitation and Rehabilitation Therapy (Occupational, Physical and Speech) revised medical policy with an effective date of August 1, 2023. The revised policy impacts all UHC Commercial plans and UHC Oxford. The only revision to this revised policy compared to the July 1, 2023 revision is UHC has

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will provide my members with the estimated payment amounts for calendar year 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will inform you of what CMS is proposing on the following topics:

If your organization had audiology claims returned with Reason Code 34963, the Centers for Medicare and Medicaid Services are instructing you to resubmit the claim to your Medicare Administrative Contractor. When resubmitting, there are 2 possible solutions. Sign in to your account to continue reading what the 2 solutions are. 

On June 30, 2023, the Centers for Medicare and Medicaid released the calendar year (CY) 2024 Home Health Proposed Rule. The proposed rule will be published in the Federal Register on July 10, 2023. To access the public inspection version, click HERE. To access the CMS Fact Sheet on the CY 2024 Home Health Proposed Rule, click HERE.