UnitedHeathcare (UHC) Medicare Advantage has updated the prior authorization process for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services from pediatrics to geriatrics.

Understanding the Complex World of Therapy Services: Documentation, CPT Coding, NCCI Edits, and Billing This seminar will teach participants the required components of documentation, what interventions are included within each CPT code and how to correctly bill to Medicare and all other insurance carriers as they relate to outpatient therapy services.

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 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 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