On July 14, 2026, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2027 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 2027 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2026 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, and Billing. This seminar will teach participants the required components of documentation from evaluation through discharge, what interventions are included within each CPT code, the 10 new speech therapy codes for 2027, and how to correctly bill to Medicare, Medicaid, and commercial insurers as it relates to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, and Billing. This seminar will teach participants the required components of documentation from evaluation through discharge, what interventions are included within each CPT code, the 10 new speech therapy codes for 2027, and how to correctly bill to Medicare, Medicaid, and commercial insurers as it relates to outpatient therapy services.

In the private practice setting, a therapist must enroll in the Medicare program in order to provide and be reimbursed for outpatient therapy services that are covered by the Medicare program. The application can be completed on paper or online using the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). Once the therapists application has been approved by their Medicare Administrative Contractor, there are 3 dates they need to know. They are the: But what do all these dates mean and when can the therapist begin treating Medicare beneficiaries? In this article, I will answer the following questions:

If you have read one commercial insurer’s therapy policies, you have read one commercial insurer’s therapy policies. That is why I have created an extensive frequently asked questions (FAQs) page dedicated to Aetna and outpatient therapy. This Aetna FAQ page will provide you answers to some of the most common questions I receive regarding Aetna and outpatient therapy services. Questions answered include, but are not limited to: To read the answers to the above questions, click HERE.

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 course will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.

What is the current status of outpatient therapy delivered via telehealth to Medicare beneficiaries beginning February 1, 2026? Congress has

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