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Medicare Advantage

Jan 1, 2019/Article

Under Medicare Part C, private companies contract with the federal government to offer Medicare beneficiaries an alternative to traditional Medicare coverage, or Original Medicare. The plans are called Medicare Advantage, often referred to as MA plans.

Clinical Practice Guideline Development and Knowledge Translation Projects

APTA supports the development of CPGs to reduce unwarranted variation in care and improve the value of care.

Considerations Related to the PT's Role in Nutrition and Diet

Jun 2, 2020/Article

PTs should consider several factors before engaging in nutrition and diet services.

Physical Therapy in the Emergency Department

Hospitals are recognizing the benefits of physical therapy services in the emergency department.

APTA Comments to Ways and Means Committee on Modernizing Stark Law

Jul 18, 2018/Comment Letters

APTA Comments to Ways and Means Committee for Modernizing Stark Law to Ensure the Successful Transition from Volume to Value in the Medicare Program hearing.

APTA Comments to CMS on Referral for Profit

Aug 28, 2018/Comment Letters

APTA supports excluding physical therapy services from the in-office ancillary services (IOAS) exception under the physician self-referral law.

Medicare National Correct Coding Initiative

CMS developed the NCCI to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment in Part B claims.

Improving Direct Access at the State Level

Feb 12, 2020/Article

PTs have all the training and skills necessary to provide diagnosis and treatment without a physician’s referral and without arbitrary restrictions.

Direct Access and Medicare in Hospital-Based Outpatient Settings

May 3, 2020/Article

CMS has specific regulations that impact direct access services in hospital-based outpatient settings.

Direct Access and Medicare

May 4, 2020/Article

Medicare beneficiaries can go directly to physical therapists without a referral or visit to a physician.