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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.

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.

Appealing a Denial

Jan 28, 2019/Article

APTA provides general tips and a suite of templated letters that can help you make your case for an appeal.

Local Coverage Determinations

Oct 24, 2018/Article

Understanding what they are, how they impact your practice and how to access the National Coverage Database to find a particular LCD.

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.

State Telehealth Laws, Regulations, Policies, and Guidance

Aug 25, 2021/Summary

Access a state-by-state chart that links to current state laws, regulations, executive orders, policies, and guidance governing telehealth for physical therapy.

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.

Multiple Procedure Payment Reduction

Dec 11, 2019/Article

MPPR is a payment policy designed to avoid duplicate payment for practice expenses when multiple procedures to the same patient on the same date of service.

Message From President Dunn on Racism and Systemic Inequality in America

May 31, 2020/Statement

There is nothing healthy about racism. It's a disease of the heart and mind that has infected not just people but customs, systems, and laws.