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 2027.
On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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 payment amounts for calendar year 2026 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2025 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT code. … Read More
The Centers for Medicare and Medicaid Services (CMS) has released a clarification regarding the licensure requirements of a speech-language pathologist (SLP) who furnishes outpatient speech therapy services to an original Medicare beneficiary. CMS has clarified they will defer
UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click
Are you a speech-language pathologist (SLP)? Does your practice or organization provide speech therapy services? If you are answered yes to either question, you will want to read this article. UnitedHealthcare (UHC) Community Plan has published a list of CPT codes that are not reimbursable if billed by a SLP. To access this list, log into your account and click
As reimbursement continues to decline and expenses increasing, clinics and facilities that provide outpatient speech therapy services are trying to find ways to increase their billing and thus reimbursement for speech therapy services. In this article, I will answer 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:
On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 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 2026 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2025 payment rate for each CPT code. For my examples, I used the national payment averages for each CPT … Read More