Next Event: Practical Application of Front End Essentials for Billing
Date: May 28,2025
CMS Suspends 8 Improvement Activities for 2025 MIPS Performance Year
The Centers for Medicare and Medicaid Services (CMS) has suspended 8 improvement activities for the 2025 MIPS Performance Year. This means clinicians will need to choose other improvement activities to complete. The 8 Improvement Activities that have been suspended are:
Congress Passes Legislation Impacting Outpatient Therapy in 2025
The United States House of Representatives and United States Senate have passed the “American Relief Act, 2025“. This legislation includes and excludes provisions that will impact outpatient physical, occupational, and speech therapy services in calendar year 2025. In this article, I will provide answers to the following questions:
2025 MIPS Finalized Changes
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:
Medicare 2025 Deductibles and Premiums Announced
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:
Medicare Payments for Outpatient Therapy in 2025
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
FY 2025 ICD-10-CM Diagnosis Codes
The fiscal year (FY)2025 ICD-10-CM diagnosis codes have been released. These 2025 ICD-10-CM diagnosis codes are to be used for outpatient physical, occupational, and speech therapy visits that occur between October 1, 2024 and September 30, 2025. In this article, I will highlight some of the additions to the FY 2025 ICD-10-CM that may have an impact on physical, occupational, and/or speech therapy services.
2025 MIPS Proposed Changes
On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule addresses proposed changes for the 2025 Merit-Based Incentive Payment System (MIPS) Performance Year. In this article, I will provide you with the proposed changes for MIPS in the 2025 Performance Year for the following topics:
Medicare Estimated Payments for Outpatient Therapy in 2025
On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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 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