There have been several changes in which therapy can do business for 2025. While Medicare and other insurance companies are tightening the rules on therapy in some instances, they are opening opportunities in patient care all benefiting the patients and their recovery. Knowing the changes will help any practice maximize reimbursement while staying complaint.

It is the responsibility of the practices and staff to know and understand new rules and regulations. Therapy has been under some auditing scrutiny by some insurance companies over the past several years. To avoid making mistakes, this session will get right to the updates so that you can implement them in your practice when they are valid on January 1st. There are on grace periods, so following these guidelines are crucial on January 1st.

The program will discuss the updates for 2025 for physical and occupational therapy. While there were no code changes, the 2025 CMS Fee Schedule Final Rule had several topics of discussion and acceptance by CMS. There are also the usual changes to the annual threshold and reminders about the differences there could be between insurance companies and the way they address the times for therapy services. There was also a request of several therapy codes to be reviewed by the American Medical Association Relative Unit Committee in misvalued codes. We will review changes to supervision of PTAs and OTAs as well as therapists in private practice.

What We Will Cover:

• 2025 Thresholds and Always Therapy Codes
• Plan of Care
• Certification
• Time
• Modifiers
• Therapy Assistants
• New Updates to the rules around certification
• Knowing when the modifier KX is necessary
• Avoid denials due to changes
• Confirm the different methods of counting time
• New supervision rules Assistants
• Areas in which discussion was had, but no change was made for 2025

Who Should Attend:

Physical Therapists, Occupational Therapists, Physicians, Chiropractors, billers, coders, surgery schedulers, claims adjusters, collection staff, managers