On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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:

Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapist assistant or an occupational therapy assistant. In this article, I will provide answers to the following questions:

Aetna has revised the effective date of their implementation to reduce payment when outpatient therapy services are provided in whole or in part by a physical therapist assistant or an occupational therapy assistant. Click HERE to read the updated article with the new effective date.

Article Updated on October 26, 2023 Aetna has announced they will implement a payment reduction when outpatient therapy services are provided in whole or in part by a physical therapist assistant or an occupational therapy assistant. In this article, I will provide answers to the following questions:

In this article, I will answer some of the more common and frequent questions I receive regarding physical therapist assistants (PTAs) and occupational therapy assistants (OTAs).

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2022: Lets begin!

In this article, I will answer the following questions regarding the supervision requirements of a physical therapist assistant (PTA) by a physical therapist (PT) and an occupational therapy assistant (OTA) by an occupational therapist (OT) under Medicare Part B outpatient therapy services for calendar year 2021: What are the supervision requirements of a PTA or OTA in a non-private practice setting (submit claims on a UB-04 claim form) when they are treating a Medicare Part B beneficiary for outpatient therapy services? What are the supervision requirements of a PTA or OTA in a private practice setting (submit claims on a

In the private practice setting, the Centers for Medicare and Medicaid Services (CMS) requires that the physical therapist (PT) provide direct supervision of the physical therapist assistant (PTA) and that the occupational therapist (OT) provide direct supervision of the occupational therapy assistant (OTA) when the PTA and OTA are furnishing covered services to a Medicare beneficiary receiving outpatient physical or occupational therapy services, respectively. This means the supervising PT or OT must be present in the office suite at the time the service(s) is provided by the PTA or OTA to the Medicare beneficiary. What providers want to know is