Specialty Billing

If you look strictly at the headline conversion factor, Medicare PT/OT Fee Schedule reimbursement for physical and occupational therapy appears to have received a welcome boost for 2026. However, the actual impact on your clinic's bottom line is more nuanced. While the baseline conversion factor rose by over 3%, a new permanent 2.5% efficiency adjustment applied to non-time-based work Relative Value Units (RVUs) offsets those gains for certain services. Depending on your cli

Remote Therapeutic Monitoring (RTM) is the use of medical devices to collect non-physiological data, such as therapy adherence and pain levels, from patients at home. Despite its potential, many practices have resisted launching RTM programs, citing rigid rules that often resulted in significant clinical effort going unreimbursed. What changed with RTM billing in 2026? Beginning January 1, 2026, new RTM CPT codes allow PT and OT practices to bill certain Remote Therapeutic Mo

When a practice upgrades its clinical workflow say, moving from a platform like TherapyNotes to a system like Jane, backed by a clearinghouse like ClaimMD there is usually a lot of excitement. You look forward to cleaner interfaces, better scheduling, and fresh features. You check the boxes to link your new clearinghouse, hit submit on a few test claims, see them go through successfully, and assume the transition is complete. Then, two weeks pass. You know you’ve had claims p

You submit a batch of claims through your clearinghouse, check your dashboard a week later, and notice a handful are marked as pending. Another week passes, then a month, and nothing moves. The money sits in administrative limbo while your practice overhead keeps running. For solo and small group mental health, physical therapy, occupational therapy, and speech-language pathology practices, watching revenue freeze behind an insurance wall is one of the more demoralizing parts