A BCBS insurer is implementing the multiple procedure payment reduction (MPPR) policy for outpatient therapy. Who is the insurer? What state is impacted? What outpatient therapy setting does this impact? The insurer is BCBS of

Effective January 1, 2027, speech-language pathologists (SLPs) will have 10 new CPT codes. The 10 codes will be time-based and will replace 92507. In addition, The Centers for Medicare and Medicaid Services (CMS) has proposed GSLPP to be reported for pediatric patients receiving speech therapy services. CMS has proposed which codes the multiple procedure payment reduction (MPPR) policy will apply to. To Which Codes Will MPPR Apply To? To Which Codes Will MPPR Not Apply To? Can You Give Some Examples of MPPR Impacting and Not Impacting Payment?

This 1-hour webinar will teach participants what the multiple procedure payment reduction (MPPR) policy is, how MPPR is applied to the CPT codes by the Medicare contractor, how to calculate the MPPR reduction, and how MPPR impacts all therapy disciplines provided the same date of service by the same practice or organization.

UnitedHealthcare (UHC) Oxford has revised their Multiple Therapy Procedure Reduction (MTPR) reimbursement policy with an effective date of December 1, 2021. In this policy, UHC Oxford lists the practice expense (PE) relative value unit (RVU) of each applicable CPT code so therapy providers will know which CPT code has the highest PE RVU and thereby will know the first unit of that code will not have their PE RVU decreased by 50%. Providers will then know which other CPT codes billed that day will have their PE RVU decreased by 50%. To access the revised policy, click