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 2026. To access the list, log into your account and click

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

This 1.5-hour online course will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2027.

On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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 this article, I will provide my members with the payment amounts for calendar year 2026 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2025 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code.

Cigna has updated their Occupational Therapy Medical Coverage Policy. To access the policy to see the updates and effective date, click

Cigna will be implementing a site of care policy for outpatient therapy services. What does this actually mean for private practices and hospital outpatient therapy departments? In this article, I will answer the following questions:

In this article, I will answer the following questions regarding billing and payment of neuromuscular reeducation provided to pediatric patients:

On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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 2026 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2025 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT