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Cohere To Take Over All MSK, Therapy Prior Authorization for Humana

Nov 12, 2021/News

Humana's decision to rely solely on Cohere beginning Jan. 1, 2022, comes after a 12-state program rolled out this year.

Eliminating the Direct Supervision Requirement of PTAs under Medicare Part B

Medicare permits general supervision of physical therapist assistants by physical therapists in all settings — except for outpatient private practice under Part B, which requires direct supervision.

Perceived Stress Scale (PSS)

Jul 25, 2022/Test & Measure

Perceived Stress Scale

UHC, Optum Tighten Prior Auth Rules for Follow-Up PT Visits Under Many MA Plans

Aug 19, 2024/Article

Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.

Code Pairing Edits: Four Things To Know

Jan 25, 2021/Article

APTA successfully advocated for CMS to lift misguided coding edits, and we're working to bring commercial payers around.

APTA Members' Hometown Efforts Keep 'PT in the Community' Momentum Going Strong

May 11, 2021/News

The community service initiative had to pivot from a single APTA CSM-based event to multiple locally based projects — and it worked.

Mini Nutritional Assessment (MNA)

Jun 15, 2022/Test & Measure

The MNA is a 6-item screening tool used to identify risk of malnutrition among older adults (aged 65+).

Pediatric Reach Test (PRT)

Sep 8, 2020/Test & Measure

Medicare Opt-Out Advocacy

APTA supports legislation that allows Medicare beneficiaries to select the health professional of their choice through private contracting.

Final Spending Bill Falls Short in Offsetting Fee Schedule Cuts

Dec 20, 2022/News

The omnibus package provides insufficient relief, but it does include several wins for the profession in other areas.