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08/01/22

Must Medicare Advantage Plans Cover Maintenance Therapy

QuestionMust Medicare Advantage plans cover maintenance therapy in the same manner that traditional Medicare covers maintenance therapy? Answer

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08/01/22

Do Medicare Advantage Plans Require 10th Visit Progress Reports?

QuestionDoes the 10th visit Progress Report that applies to traditional Medicare patients also apply to all Medicare Advantage plans and their respective beneficiaries? Answer

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08/01/22

Do Medicare Advantage Plans Require Signed Plans of Care?

QuestionI know traditional Medicare requires a dated signature of the physician or nonphysician practitioner (NPP) whom the Medicare beneficiary is under their care while receiving outpatient physical, occupational and/or speech therapy services. Does this same requirement apply to Medicare Advantage plans whose beneficiaries are receiving outpatient physical, occupational and/or speech therapy services? Answer

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06/20/22

Does Sequestration Reduction Apply to Medicare Advantage Plans

Due to COVID-19, the 2% sequestration reduction for traditional Medicare was placed on pause until April 1, 2022. Beginning with dates of service between April 1 – June 30, 2022, the sequestration reduction returned at 1% and then increases to 2% for dates of service on and after July 1, 2022. What therapy providers want to know is does the sequestration reduction also automatically apply to Medicare Advantage plans? The answer is

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08/09/21

Medicare Advantage Plans: Frequently Asked Questions

There has been a lot of discussion on Medicare Advantage plans lately on several of the social media platforms. While social media can be a good place to seek information, the information that is shared is not always correct or perhaps, not correct for your specific situation and/or question. In this article, I will provide answers to the following questions I am routinely asked: Does the annual therapy threshold that applies to traditional Medicare beneficiaries also automatically apply to all Medicare Advantage plans and their beneficiaries? Does the 10th visit Progress Report that applies to traditional Medicare patients also apply

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07/21/21

UHC Advantage Telehealth Update

On July 19, 2021, UnitedHealthcare (UHC) Medicare Advantage announced their continued expansion of telehealth access, including temporarily waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements. UHC will extend the expansion of telehealth access for in-network and out-of-network providers I hope you found this article helpful. Thank you for being a Gold Member!

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04/26/21

UnitedHealthcare Extends Telehealth Coverage for Their Medicare Advantage Plans

UnitedHealthcare (UHC) has announced they have once again extended coverage of outpatient physical, occupational and speech therapy services delivered via telehealth for their Medicare Advantage beneficiaries. UHC will cover all in-network and out-of-network outpatient therapy telehealth services as outlined Thank you for being a Gold Member!

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04/19/21

Can Therapy Students Treat Medicare Advantage Patients?

On March 1, 2021, I published an article titled “Supervision Requirements of Therapy Students Under the Medicare Program“. This article specifically addressed traditional Medicare. Of course, that article then led to questions regarding the supervision requirements of therapy students treating Medicare Advantage patients and do the traditional Medicare supervision requirements apply to Medicare Advantage plans. In this article, I will answer that question. QuestionDo the traditional Medicare supervision requirements of therapy students also apply to Medicare Advantage plans and their respective beneficiaries? Answer I hope this answer has helped you. Thank you for being a Gold Member!

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