Next Event: Understanding the ABN for Outpatient Therapy Services
Date: August 13,2026
Medicare Outpatient Observation Notice
With the success of Artemis 2 and its orbit around the moon, I thought I would write an article on how the MOON impacts outpatient therapy. What is a Medicare Outpatient Observation Notice (MOON)? Who is required to provide a MOON to a Medicare beneficiary? In this article, I will answer the following questions:
2026 Annual Therapy Code List Update
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
Government Shutdown as of October 20, 2025
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 Revises Outpatient Therapy Policy: September 2025
UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click
Can I Bill an Aetna Medicare Advantage Member for Non-Covered Services?
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:
Update on CF SLPs Treating Medicare Beneficiaries
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:
Should I Go Out-of-Network?
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:
NCCI Edits and Modifier 59: Version 28.2
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