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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Site Updates

  • 20 Jun 2023 9:36 AM | Zachary Edgar (Administrator)

    We added a new section on private insurance which contains links to the commercial, Medicare Advantage, and Medicaid policies and resources for therapy services.   We will be adding more plans as they are requested.

    Private Insurance

  • 18 Jun 2023 12:38 PM | Zachary Edgar (Administrator)

    CHAMPVA Therapy Services

    The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive health care program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries.  In addition to our guides and sample policies we provide ongoing compliance and billing support for members


  • 16 Jun 2023 5:05 PM | Zachary Edgar (Administrator)

    Visit our NCCI Page.

  • 25 May 2023 10:20 AM | Zachary Edgar (Administrator)

    We added a new section with coverage, documentation, and limitations information on a number of speech therapy evaluation and therapeutic procedures. 

    Medicare Speech Therapy Services 

  • 24 Apr 2023 1:15 PM | Zachary Edgar (Administrator)

    Non-exclusive lists of limitations on services and specific services that are not covered.   See Therapeutic Procedures and Modalities for more information on covered services and their specific limitations. 


  • 24 Apr 2023 12:51 PM | Zachary Edgar (Administrator)

    Updated the SLP and PT/OT telehealth code lists for therapy services that are covered through telehealth during the Covid-19 PHE.

    Medicare Telehealth 

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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