Due to the continued government shutdown, CMS has instructed all Medicare Administrative Contractors to continue to hold claims for all services reimbursed under the Medicare Physician Fee Schedule. Update from CMS: In light of the continuing government shutdown, CMS will continue to process and pay held claims in a timely manner with the exception of select claims for services impacted by the expired provisions.  Claims impacted by the expired provisions include outpatient therapy delivered via telehealth. In addition, several localities are impacted by the geographic price cost index (GPCI) minimum work floor of 1.0. On October 1, 2025, that legislation

TRICARE has updated chapters and sections within their TRICARE Policy Manual. This includes physical therapy, occupational therapy, and speech therapy sections. In addition, TRICARE updated the physical therapist assistant and occupational therapy assistant sections. To access all the policies, click HERE. Then, click on the policy you want to read. Changes within each policy will be written in red.

This 1.5-hour online course will give practices and therapy departments a plan for evaluating their own data and an educational plan to ensure that therapists and assistants understand the difference between commonly used code and the difference in the Medicare billing rule and the Midpoint rule. 

As of 12:01 am EDT this morning, the government has shut down due to Congress not passing legislation to continue to fund the government. What does the shutdown mean for outpatient therapy under original Medicare? Here are the implications:

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:

There is confusion as to whether or not a physician order can serve as the initial plan of care for an original Medicare beneficiary receiving outpatient therapy. In this article, I will answer the following questions:

UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click

The Centers for Medicare and Medicaid Services (CMS) has released the 2026 outpatient therapy threshold dollar amount. In 2026, for physical therapy (PT) and speech therapy (ST) combined, the amount will be