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05/22/23

Telehealth and Medicare After the PHE

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

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05/04/23

Will CMS Pay for Telehealth After May 11, 2023

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:

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04/27/23

Providing Maintenance Therapy to Medicare Beneficiaries

This 1.5-hour webinar will teach participants the rules and regulations regarding providing maintenance therapy not only to traditional Medicare beneficiaries, but also Medicare Advantage beneficiaries.

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04/03/23

When is Medicare Primary or Secondary

There remains much confusion how to bill for outpatient therapy services when an outpatient therapy patient is entitled to Medicare, but may also be covered by a group health plan (GHP) or a non-group health plan (NGHP), such as workers compensation or auto no-fault, being primary. In this article, I will answer the following questions:

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01/02/23

Medicare Estimated Payments for Outpatient Therapy in 2023

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023. On December 22, 2022 and December 23, 2022, the United States Senate and United States House of Representatives, respectively, passed the Consolidated Appropriations Act, 2023. Included in this legislation was Congress providing additional funding to the Medicare program to help offset some, but not all, of the 4.47%

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12/26/22

2023 Update on Telehealth

Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services will reimburse for outpatient therapy services provided by physical therapists, occupational therapists and speech-language pathologists delivered via telehealth in all outpatient settings through

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12/21/22

2024 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 2024.

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11/19/22

Understanding the ABN for Outpatient Therapy Services

This 1-hour webinar will teach participants when they can and can’t issue an advance beneficiary notice of noncoverage (ABN) to a Medicare beneficiary, how to complete the ABN form correctly and provide answers to many of the questions providers of therapy services have regarding the ABN.

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