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01/08/26

Humana Outpatient Therapy Preauthorization List for 2026

Humana has published their Medicare Advantage and Dual Eligible Special Needs Plans Preauthorization and Notification list for outpatient physical and occupational therapy services for calendar year 2026. To access the list, log into your account and click

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01/07/26

2026 MIPS Registry Quality Measure Specifications

Are you participating in the 2026 MIPS program and reporting quality measures via a registry? If yes, below are the applicable quality measure specifications for all 3 disciplines. Sign into your account to access the quality measure specifications.

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01/07/26

2026 MIPS Part B Claims Quality Measure Specifications

Are you participating in the 2026 MIPS program and reporting quality measures via Medicare Part B claims? If yes, below are the applicable quality measure specifications for all 3 disciplines. Sign into your account to access the quality measure specifications.

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01/05/26

2026 MIPS Quality Measure Specifications

CMS has released the 2026 Quality Measure Specifications for Quality Measures reported via Medicare Part B claims and a Registry. To access, go to

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11/24/25

Medicare 2026 Deductibles and Premiums Announced

The Centers for Medicare and Medicaid Services (CMS) has announced the 2026 Medicare Part A and Part B premiums and deductibles. In this article, I will provide you with what the premiums and deductibles are for 2026. Lastly, I will discuss how the Medicare beneficiaries Part B deductible can impact the annual therapy threshold dollar amount. In this article, I will answer the following questions:

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11/17/25

Final Medicare Payments for Outpatient Therapy in 2026

On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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 payment amounts for calendar year 2026 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2025 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code.

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11/01/25

CMS Releases CY 2026 Medicare Physician Fee Schedule Final Rule

On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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. Does this final rule have tricks, treats, or both for outpatient therapy services. In this article, I will inform you of what CMS is finalizing on the following topics:

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09/17/25

Fiscal Year 2026 ICD-10 Update

ICD-10 diagnosis codes are updated yearly. Fiscal Year (FY) 2026 ICD-10 become effective for outpatient therapy dates of service that occur between October 1, 2025 – September 30, 2026. Changes that begin October 1, 2025 include, but are not limited to: To see the complete list of additions, deletions, and revisions to FY ICD-10 diagnosis codes, log into your account and click

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