The 2026 Medicare Final Rule includes several key Medicare changes for Physical Therapy. New Remote Therapeutic Monitoring (RTM) Codes have been finalized. These codes are considered “sometimes therapy” codes and will require a therapy plan of care. KX Modifier Threshold for 2026 The KX modifier threshold in 2026 for combined physical therapy and speech-language pathology […]
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Test your knowledge by taking our Medicare 8 Minute Rule Quiz. There are a total of 10 questions in this quiz. Good Luck!
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There are several 2025 changes for Therapists that CMS has published in Medicare’s Final Rule that take effect on January 1, 2025. Below are some highlights of the changes that effect Therapists in 2025. Therapy KX Modifier Thresholds Medical Review Thresholds New CPT Codes for Direct Caregiver Training CMS has added three new CPT Codes
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Are you collecting all the patient fees that you have earned? Probably not, and in 2025 and beyond, this could mean the difference between your practice making a profit or losing money. But there are some simple ways to increase your patient collections. Before the Affordable Care Act, typical payments consisted of 10% from the
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Congress has passed and President Biden has signed the Consolidated Appropriations Act of 2024 (H.R. 4366) that will reduce the Medicare payment cuts for Part B from 3.4% to 1.7% for the remainder of 2024. The new fee schedule will be in effect for dates of service March 9, 2024 to December 31, 2024. You
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Aetna has announced that beginning December 1, 2023, they will implement the 15% Billing Reduction for services provided by Physical Therapy Assistants and Occupational Therapy Assistants. The Billing Reduction will apply to Aetna’s commercial and Medicare businesses. Aetna will require the use of the CO and CQ modifiers to signify services furnished in whole or
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United Healthcare has published Medical Policy updates effective July 1, 2023 that effect Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech). The full documentation can be found here. The policy changes effect the Commercial and Individual Exchange benefit plans. Many of the policy changes affect documentation that must be supplied to United Healthcare so it
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As of March 30th 2021, the Centers for Medicare and Medicaid Service (CMS) has officially started the process to recover payments made to Medicare providers who received funds from CMS’ Accelerated and Advance Payments Program (CMS AAPP). Your practice’s specific repayment will begin 1 year after you received your first payment and will continue for 17
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