2025 Outpatient Therapy Regulatory and Payment Updates Webinar

It’s a new year and with that, new, revised and deleted CPT codes become effective on January 1, 2024 and payment changes occur in terms of the annual Medicare therapy threshold dollar amount, use of the KX modifier for claims exceeding the therapy threshold, the targeted medical review process for claims exceeding $3000 in a calendar year and the annual Medicare Part B deductible and its impact on the annual therapy threshold dollar amount. In calendar year 2025, what is the status of outpatient therapy delivered via telehealth as well as supervision requirements of a physical therapist assistant by a physical therapist and occupational therapy assistant by an occupational therapist in the private practice setting? Lastly, will Medicare reimbursement decrease in calendar year 2025 compared to 2024 and might some localities see a bigger decrease than others?

Upon completion of this webinar, participants should be able to:

1. Recall the 2025 conversion factor and its impact on payment under Medicare Part B therapy services.
2. Understand what the 2025 Medicare Part B deductible is and its impact on the annual therapy threshold.
3. List the 3 possible scenarios of who may pay the 2025 Medicare Part B deductible. 
4. Name the 2 Medigap plans that cover the annual Medicare Part B deductible. 
5. Identify the 2025 therapy threshold and the targeted medical review process for claims exceeding $3,000 in calendar year 2025. 
6. List new, revised and/or deleted CPT codes for 2025 that may be utilized by physical or occupational therapists and/or speech-language pathologists. 
7. Recite the current status of telehealth with traditional Medicare for calendar year 2025. 
8. Understand how the Geographic Price Cost Index for your locality impacts your Medicare payment in calendar year 2025.
9. Name 3 changes to the 2025 MIPS program.