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 calendar year 2024. In this article, I will inform you of what CMS finalized on the following topics:

Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema standard and custom fitted gradient compression garments and other items as determined by the Secretary of Health and Human Services (HHS) beginning January 1, 2024. On November 1, 2023, CMS released the calendar year (CY) 2024 Home Health Prospective Payment System final rule. In this final rule, CMS finalized the following regarding lymphedema compression treatment items:

Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema standard and custom fitted gradient compression garments and other items as determined by the Secretary of Health and Human Services (HHS) beginning January 1, 2024. On June 30, 2023, CMS released the calendar year (CY) 2024 Home Health Prospective Payment System proposed rule. In this proposed rule, CMS proposes the following regarding lymphedema compression treatment items:

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 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 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

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 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 inform you of what CMS is proposing on the following topics:

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 and 2021. I will also provide you with the amount of money the Medicare program reimbursed for each CPT code for calendar years 2020 and 2021.

The public health emergency (PHE) ended at the end of the day on May 11, 2023. What providers want to know is will the Medicare program continue to reimburse for outpatient therapy services delivered via telehealth after the PHE and if yes, in which outpatient settings and for how long? Several updates have occurred since I published an article on this topic back on May 4, 2023. The article has been updated twice since that date due to new information from the Centers for Medicare and Medicaid Services (CMS). Click HERE to read this article that does contain the latest

Article updated on May 19, 2023! Disclaimer: This article is current as of May 19, 2023 and if CMS and/or Congress makes any changes, an updated article will be published. The public health emergency (PHE) ended at the end of the day on May 11, 2023. What providers of outpatient therapy services want to know is will the Centers for Medicare and Medicaid Services (CMS) reimburse for outpatient therapy services delivered via telehealth after May 11, 2023. In this article, I will provide answers to the following questions: