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Medicare Claims Audits

PTs are under increasing pressure to ensure compliance with coverage, payment, coding, documentation, and billing requirements.

Malpractice/Professional Liability in Provision of Fitness Services

Oct 8, 2019/Open Access

You should be aware of the scope of the practice act in the state(s) in which you are licensed, and consider carefully whether or not your scope of personal competence is compatible with the type of services you wish to provide.

Merit-Based Incentive Payment System

MIPS is the first large scale value-based payment model to impact PTs.

Should You Participate in a Bundled Care Model? Considerations, Pros, and Cons

Feb 7, 2019/Article

Participating in a bundled care model can be a wise move, but only if you've taken the time to weigh the risks and benefits—and have an honest look at your practice.

Medicare Postacute Care Reform

Physical therapy services represent a significant portion of Medicare expenditures in post-acute care settings.

CMS Targeted Probe and Educate Program

Dec 10, 2019/Open Access

The CMS Targeted Probe and Educate program provides one-on-one assistance to reduce claims denials and appeals.

Impact of COVID-19 on the Physical Therapy Profession

May 25, 2021/Report

This follow-up report includes new data based on a March-April, 2021, survey of PTs and PTAs.

Utilization Management and Utilization Review

Jul 22, 2019/Article

The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.

APTA Clinical Practice Guidelines Development Manual

Jul 28, 2023/Resource

APTA is committed to helping PTs and PTAs develop, synthesize, and use credible evidence. Clinical practice guidelines are essential tools in this process.

Provider Enrollment, Chain and Ownership System

Jun 14, 2019/Open Access

PECOS supports the Medicare Provider and Supplier enrollment process by allowing registered users to securely and electronically submit and manage Medicare enrollment information.