Each year, the Centers for Medicare and Medicaid Services (CMS) updates the annual therapy code list. This list applies to outpatient physical, occupational, and speech therapy services. This list tells outpatient therapy providers which CPT codes require the discipline specific modifier (GN, GO, GP) be appended to them when provided under an outpatient therapy plan of care. For 2026, CMS is adding 3 CPT codes to this list as sometimes therapy codes. To access the 2026 annual update, log into your account and click

As of October 20, 2025, the government remains in a shutdown. What does the shutdown mean for coverage and payment of outpatient therapy services under the Medicare program? Here is the latest:

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

Aetna Medicare Advantage plans may not cover all the outpatient therapy services your patient requires. For the services that they do not cover, does this mean you can charge the patient cash? In this article, I will provide you answers to the following questions:

The Centers for Medicare and Medicaid (CMS) has provided updated guidance regarding Clinical Fellow (CY) speech-language pathologists (SLPs) and their ability to treat original Medicare beneficiaries for outpatient therapy services and have those services billed to the Medicare program. Here is what CMS is saying:

With stagnant or decreasing reimbursement and rising expenses, more practices are considering going out-of-network (OON) with some insurers. However, what information must owners consider when making this decision? In this article (Part 1 of 3), I will answer the following questions:

This webinar will provide participants with information on NCCI Edits Version 28.2 that became effective with dates of service beginning on July 1, 2022 and lasting through September 30, 2022

Please join us as Gawenda Seminars & Consulting, Inc. presents “Understanding NCCI Edits and Modifier 59: Version 26.2” webinar conference on June 24, 2020 from 1:00PM – 2:00PM eastern daylight time. The Centers for Medicare and Medicaid Services (CMS) updates the National Correct Coding Initiative (NCCI) edits every quarter. This webinar will provide participants with information on NCCI Edits Version 26.2 that become effective on July 1, 2020. In addition, I will teach participants changes that occurred in April 2020 that went retroactive to either December 31, 2019 or January 1, 2020.  To register online with a credit card, purchase