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:

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%

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. In this article, I will provide you with information contained in this ACT that impacts outpatient physical, occupational and speech therapy services.

Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services will reimburse for outpatient therapy services provided by physical therapists, occupational therapists and speech-language pathologists delivered via telehealth in all outpatient settings through

The National Correct Coding Initiative (NCCI) Edits, Version 29.0, become effective with dates of service January 1, 2023 – March 31, 2023. NCCI edits are used by the Centers for Medicare and Medicaid Services (CMS) to combat abusive and fraudulent billing practices. In addition, many state Medicaid programs, workers compensation carriers and commercial insurance carriers also utilize NCCI edits when processing outpatient physical, occupational and speech therapy claims. Gawenda Seminars & Consulting provides a NCCI Edit Therapy Specific reference sheet for our members that enable the members to know when modifier 59 is and is not required to be appended

In this article, I will answer the following questions:

In this article, I will answer the following questions:

In this article, I will provide you with the updates to the 2023 Merit-Based Incentive Payment System Program that will impact your 2025 calendar year reimbursement.