UnitedHealthcare (UHC) Community Plan has revised their Cognitive Rehabilitation medical policy. To access the revised policy, log into your account and click

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2025:

Effective with dates of service on and after January 1, 2025, there will be 3 new caregiver training services (CTS) HCPCS Level II codes. In this article, I will answer the following questions:

BCBS of North Carolina has provided an update to the effective date for prior authorization for outpatient physical, occupational, and speech therapy services. The new effective date is

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) final rule. This rule finalizes proposed changes for the 2025 Merit-Based Incentive Payment System (MIPS) Performance Year. In this article, I will provide you with the finalized changes for MIPS for the 2025 Performance Year for the following topics:

The Centers for Medicare and Medicaid Services (CMS) has announced the 2025 Medicare Part A and Part B premiums and deductibles. In this article, I will provide you with what the premiums and deductibles are for 2025 and how the Medicare beneficiaries Part B deductible can impact the annual therapy threshold dollar amount dependent upon was the deductible met before or after they received outpatient physical, occupational and/or speech therapy services. In this article, I will answer the following questions:

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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 this article, I will provide my members with the estimated payment amounts for calendar year 2025 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2024 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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 this article, I will inform you of what CMS has finalized on the following topics: