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Out-of-Network Medicare Advantage Payments: Know What You’re Owed

Jan 17, 2024/Perspective

Will you be paid less for your services under Medicare Advantage if you're an out-of-network provider?

Why Does This Code Pay This Amount?

Sep 1, 2019/Column

A look at the Relative Value Scale Update process.

Before You Buy: 26 Key Questions to Ask Suppliers

Aug 1, 2016/Feature

Before purchasing a product, PTs and PTAs should ask a lot of questions. Some may be obvious. Others aren't. Here's what PTs, PTAs, and suppliers say are the questions to ask - and the answers to listen for - to help ensure you're making the right decision.

Medicaid Enrollment Requirements

May 4, 2020/Article

This resource summarizes the provisions under Cures as they relate to Medicaid enrollment requirements.

APTA, 95 Other Organizations to Congress: The Fee Schedule Just Isn't Working

Mar 9, 2022/News

A recent letter to committee leadership says that it's time for systemic change to the PFS and Quality Payment Program, which includes MIPS.

The Power of Practical Advice

Mar 1, 2020/Column

Employing contemporary theories of neurorehabilitation and neuroplasticity to enhance children's lives.

Neck Pain

Jun 26, 2024/Clinical Summary

PTs may perform an evaluation to develop an individualized treatment plan that addresses the patient's pain and activity limitations.

Ordering of Diagnostic Imaging by PTs: A Practice Analysis - PTJ

Aug 9, 2019/Podcast

As more PTs transition into direct access roles, it seems prudent to consider how additional resources common to other first-contact providers might impact patient care.

Guidelines: Commitment of Students and Clinicians to Patients, Clients, Society, and the Profession

Aug 20, 2020/Policies & Bylaws

House guideline: APTA supports students, PTs, and PTAs expressing their commitment to patients, clients, society, and the profession with an oath or pledge.

Cash-Based Payment and Medicare Services: No Exceptions to the Rules

The short answer is that no exceptions allow PTs to bypass these requirements.