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

UnitedHealthcare Medicare Advantage has revised their “Skilled Nursing Facility, Rehabilitation, and Long-Term Acute Care Hospital” medical policy. This policy applies to private practices as well as other outpatient therapy settings such as hospitals and skilled nursing facilities. The effective date of this revised policy is June 1, 2025. To access the revised policy, click

This 1.5-hour online course will teach speech-language pathologists how to report the correct CPT code(s) based on interventions provided and documentation in the medical record, define the definition of substantial of a time-based CPT code and will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as commercial insurance carriers.

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