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03/11/24

Updated Medicare Payment Amounts for Outpatient Therapy in 2024

Congress has passed legislation increasing Medicare payment for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings, except for a critical access hospital. In this article, I will provide my members with the estimated payment amounts beginning March 9, 2024, for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. Based on the location of your clinic/organization, your payment may be higher or lower than the national average. Click HERE

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03/11/24

Congress Increases Medicare Payment for Rest of 2024

Congress has passed the Consolidated Appropriations Act, 2024. This legislation has an impact on payment for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

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02/05/24

Telehealth and Medicare in 2024

In this article, I will answer the following questions regarding providing outpatient physical, occupational, and speech therapy services via telehealth to traditional Medicare beneficiaries:

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01/29/24

Medicare Payments for Outpatient Therapy in 2024

On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 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 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

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01/23/24

Medicare and Cash: What You Need to Know

There is much misinformation being shared regarding Medicare beneficiaries and the ability of therapists in private practice to collect cash from a Medicare beneficiary for outpatient therapy services. In this article, I will answer the following questions:

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12/11/23

Medicare Payments 2020 – 2022

In this article, I will provide information on the number of units billed for the most common CPT codes billed by physical therapists, occupational therapists and speech-language pathologists to the Medicare program for calendar years 2020, 2021, and 2022. I will also provide you with the amount of money the Medicare program reimbursed for each CPT code for calendar years 2020, 2021, and 2022.

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12/10/23

2025 Outpatient Therapy Regulatory and Payment Updates

This webinar will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2025.

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11/20/23

CMS Revises 855I Application Form

The Centers for Medicare and Medicaid Services (CMS) has revised the 855I Form for Medicare enrollment. In this article, I will answer the following questions:

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