With stagnant or decreasing reimbursement and expenses continuing to rise, practices are looking for ways to improve their bottom line. In addition, more and more patients have higher deductibles and cost sharing responsibility for their outpatient therapy services. For patients to pay their financial responsibility to the therapy practice or organization, they are using their credit cards to do so. For the therapy practice or organization, this further reduces their income since they will incur up to a 3% fee for each transaction by their credit card processing company. This leads to an important question. Can the therapy practice or

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 2026.

Congress has passed the Consolidated Appropriations Act, 2024. This legislation has an impact on payment for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

This webinar will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2024.

This webinar will provide participants with regulatory and payment changes that will impact outpatient physical, occupational and speech therapy services in calendar year 2023.

On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 Final Rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). This rule does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings except a critical access hospital (CAH) since a CAH is not reimbursed under the MPFS. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. In the final rule, CMS stated the 2022 Conversion Factor (CF) would be 33.5983. This would be a 3.75% decrease compared to the 2021

If you are a physical therapist, occupational therapist or speech-language pathologist in private practice and you participated in the 2019 Merit-Based Incentive Program (MIPS), you have now received your MIPS score and payment adjustment percentage for calendar year 2021. In this article, I will answer several questions that I have been receiving to help you understand what will be occurring in 2021. QuestionIs it possible for a therapist who has their own individual NPI number, is employed or contracted by multiple private practices (different TINs) and submitted claims to Medicare under each NPI/TIN combination to have different MIPS scores for

The proposed Medicare Physician Fee Schedule for 2021 is calling for an estimated 9% decrease in payment for codes tied to Part B physical, occupational and speech therapy services. I am asking you to contact your representative in the House of Representatives and your 2 United State Senators to prevent these cuts, which will reduce patient access and create instability in the health care system. Contact your Members of Congress today. Please do this in addition to submitting comments to CMS that I discuss below. WE NEED BOTH! In addition and equally important is communicating your opposition to the Centers for Medicare and Medicaid