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2026 Medicare PT/OT Fee Schedule: What Changed and What It Means for Your Practice
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
Tony Kain
Aug 125 min read


Medicare Enrollment for Mental Health Providers: PECOS, I&A, and What to Expect
By Danielle Wagar, CPES | Upstate Healthcare Admin Medicare enrollment is one of the most misunderstood processes in mental health private practice. Providers avoid it because it feels complicated. They delay it because they do not know where to start. And then they refer out every Medicare client for years — clients who could have been seen in their practice. This guide breaks down exactly how Medicare enrollment works for mental health providers. Who This Applies To Medicar
Danielle Wagar
Jun 294 min read
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