UnitedHealthcare Medicare Advantage has revised their “Skilled Nursing Facility, Rehabilitation, and Long-Term Acute Care Hospital” medical policy. This policy applies to private practices as well as other outpatient therapy settings such as hospitals and skilled nursing facilities. The effective date of this revised policy is June 1, 2025. To access the revised policy, click

This 2.5-hour online course will teach participants what CPT code to bill dependent upon their intent and documentation in the medical record. The webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Humana has published their Medicare Advantage and Dual Eligible Special Needs Plans Preauthorization and Notification list for outpatient physical and occupational therapy services for calendar year 2025. To access the list, log into your account and click

UnitedHeathcare (UHC) Medicare Advantage has updated the prior authorization process for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

This 2.5-hour online course will teach participants how to determine and select the appropriate occupational therapy evaluation CPT code based on their documentation in the medical record of the 3 components of the occupational therapy evaluation CPT codes for pediatrics, adults, and geriatrics.