UnitedHealthcare (UHC)has introduced a comprehensive diagnosis code requirement policy for both professional and facility services. This new policy will combine 3 existing diagnosis policies into this new comprehensive diagnosis policy. The effective date of the new policy is To access this new policy as it applies to UHC Medicare Advantage, click To access this new policy as it applies to UHC Community Plans, click To access this new policy as it applies to UHC Individual Exchange Plans, click

On April 23, 2024, the Federal Trade Commission (FTC) issued a final rule banning noncompetes nationwide. This ban will allow workers to freely change jobs.

There may be circumstances where a Medicare beneficiary may be receiving therapy services at more than 1 practice/organization during the same time period, either by the same discipline or different disciplines. However, when this occurs, will the Medicare program reimburse both practices/organizations of outpatient therapy services? The answer is

Many employees of hospitals do not understand how the Centers for Medicare and Medicaid Services (CMS) reimburse for outpatient physical, occupational, and speech therapy services provided by a hospital outpatient therapy department. Does CMS reimburse for these services under the Medicare Physician Fee Schedule (MPFS) or the Outpatient Prospective Payment System (OPPS)? In this article, I will answer the following questions:

On March 27, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2025 Inpatient Rehabilitation Facility (IRF) proposed rule. To read a summary of the proposed rule, click HERE. To read the entire proposed rule, click HERE.

On March 28, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2025 Skilled Nursing Facility (SNF) proposed rule. To read a summary of the proposed rule, click HERE. To read the entire proposed rule, click HERE. CMS will accept public comments on the proposed rule until May 28, 2024.

Since January 21, 2020, the Centers for Medicare and Medicaid Services (CMS) covers acupuncture for chronic low back pain for up to 12 visits in 90 days. If patients are demonstrating improvement, CMS will cover an additional 8 visits for a total of 20 visits annually. Beginning with dates of service on and after January 1, 2024, CMS will

In this article, I will answer the following questions regarding billing for sensory integration: