With the deadline for the latest extension of the telehealth waiver looming just a day away, the Senate has not yet signed the bill that passed through the House last week. The bill signed by the House will allow the telehealth flexibilities to continue through the end of 2027, giving Congress time to decide if they should be made permanent. Many patients have benefited from these services, allowing them to receive care when they may…
Along with each new year comes new coding changes, and 2026 is no different for the therapy community. According to the Centers for Medicare & Medicaid Services (CMS), the 2026 therapy CPT® code updates impact physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs), who bill Medicare for therapy services. The Medicare Physician Fee Schedule (MPFS) is used to make payments for these therapy services, and it is essential that facilities and staff understand…
In this 3-part blog series we will focus on issues that were identified in the recent OIG audit of PDPM records and MDS. The first area discussed the lack of documentation to support technical requirements. This second blog will focus on the requirements for coding diagnoses that meet the active diagnosis requirements. Billing and coding for medical services provided under the Centers for Medicare & Medicaid Services (CMS) should always be accurate and supported by…
Sign up today to receive our complimentary newsletter, Guidance on Compliance, with the latest healthcare compliance and risk management information.