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01/23/23

How to Bill for Blood Flow Restriction Therapy

In this article, I will answer the following questions:

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01/16/23

UnitedHealthcare Transitioning to Electronic Claim Reconsiderations and Post-Service Appeals

In 2023, UnitedHealthcare (UHC) is working to reduce the amount of paper that providers submit for reconsiderations and appeals. This means, beginning February 1, 2023, private practices and facilities will be required to submit claim reconsiderations and post-service appeals electronically. This change affects most network professionals (private practices) and facilities that provide services to commercial and UnitedHealthcare® Medicare Advantage plan members. To view this announcement straight from UHC as well as to see how to submit your documents electronically, click

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01/16/23

UnitedHealthcare Individual and Family Plan March 2023 Update

UnitedHealthcare (UHC) Individual and Family Plan will have a new outpatient therapy policy for facilities with an effective date of March 1, 2023. This policy will impact the following states: Per UHC, the policy summary is as follows:

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01/16/23

UnitedHealthcare Community Plan March 2023 Update

UnitedHealthcare (UHC) Community Plan will have a new outpatient therapy policy for facilities with an effective date of March 1, 2023. This policy will impact the following states: Per UHC, the policy summary is as follows:

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01/11/23

HHS Renews Public Health Emergency

On January 11, 2023, Secretary of Health and Human Services, Xavier Becerra, renewed the public health emergency (PHE) due to COVID-19. This means that the PHE will end at the end of the day on April 11, 2023 unless extended further. It’s widely expected that this is the last renewal and we should know next month if the PHE will not be renewed again. Click HERE to read the PHE extension notice.

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01/02/23

2023 MIPS Quality Measures Update

On December 27, the Centers for Medicare and Medicaid Services (CMS) released the 2023 Quality Measure Specifications and Supporting Documents for Medicare Part B Claims reporting and Registry Reporting. There were some surprises to the Quality Measures physical therapists (PTs) and occupational therapists (OTs) thought they would be able to report on in 2023 and one big surprise for speech-language pathologists (SLPs). Per the 2023 Final Rule for Services Reimbursed Under the Medicare Physician Fee Schedule, CMS finalized their proposal to add Quality Measures

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01/02/23

CMS Releases 2023 Quality Measure Specifications and Supporting Documents

On December 27, 2022, the Centers for Medicare and Medicaid Services released the 2023 Quality Measure Specifications and Supporting Documents for Medicare Part B claims reporting and Registry reporting. To access the 2023 Quality Measure Specifications and Supporting Documents, follow the instructions below:

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01/02/23

Medicare Estimated Payments for Outpatient Therapy in 2023

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023. On December 22, 2022 and December 23, 2022, the United States Senate and United States House of Representatives, respectively, passed the Consolidated Appropriations Act, 2023. Included in this legislation was Congress providing additional funding to the Medicare program to help offset some, but not all, of the 4.47%

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