Next Event: NCCI Edits & Modifier 59: Version 31.2
Date: June 26,2025
Medicare Estimated Payments for Outpatient Therapy in 2025
On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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 2025 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2024 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT
2025 CPT Coding and Billing for Physical and Occupational Therapy
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 webinar will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.
Updated Medicare Payment Amounts for Outpatient Therapy in 2024
Congress has passed legislation increasing Medicare payment for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings, except for a critical access hospital. In this article, I will provide my members with the estimated payment amounts beginning March 9, 2024, for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. Based on the location of your clinic/organization, your payment may be higher or lower than the national average. Click HERE
Telehealth and Medicare in 2024
In this article, I will answer the following questions regarding providing outpatient physical, occupational, and speech therapy services via telehealth to traditional Medicare beneficiaries:
Medicare Payments for Outpatient Therapy in 2024
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final 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 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT
Understanding ICD-10 as it Applies to Pelvic Health
This 2-hour webinar program will build upon the basics of ICD-10 by providing in-depth ICD-10 coding and documentation scenarios for physical therapy services with a focus on pelvic health conditions.
CMS Releases CY 2024 Medicare Physician Fee Schedule Final Rule
On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. This final rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings in calendar year 2024. In this article, I will inform you of what CMS finalized on the following topics:
Medicare Estimated Payments for Outpatient Therapy in 2024
On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 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 2024 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2023 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT