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Final Rule on ACA Insurance Exchanges Opens the Door for Market Instability, Disruptions in Care

Apr 11, 2018/News

HHS is making good on the Trump administration's promise to relax requirements in the ACA, releasing a set of rule changes that will alter the way states deal with "essential health benefits" and potentially reduce consumer access to help in choosing an insurance plan in the state marketplaces.

Proposed Home Health Rule Moves Ahead With New Payment System, Allows Therapist Assistants to Furnish Maintenance Therapy

Jul 12, 2019/News

The US Centers for Medicare and Medicaid Services (CMS) intends to go full steam ahead with its plans to shift to a new payment system for home health beginning in 2020. The plans are accompanied by other changes that include allowing maintenance therapy to be furnished by physical therapist assistants

Mary McMillan Scholarship Award

Awards

This award acknowledges and honors outstanding physical therapist and physical therapist assistant students who are nearing the completion of their respective programs of study.

Study Reveals Racial Disparities in Postdischarge Rehab After Traumatic Injury

May 28, 2019/Review

Researchers found that in groups matched for age, injury type, and injury severity, African Americans were less likely to use rehabilitation services and have outpatient visits postdischarge.

A Stark Reality: APTA Continues Efforts to Shore Up Self-Referral Law

Aug 7, 2018/News

CMS has hinted that the prohibition, known as the Stark law, may interfere with the adoption of new, more integrated models of care.

MIPS Value Pathways

Feb 27, 2024/Resource

MIPS Value Pathways, or MVPs, are a voluntary reporting option that clinicians can participate in as an alternative to traditional MIPS or an APM Performance Pathway.

Is AI Making Claim Denials in Error? What Does It Matter if We Don't Appeal?

Dec 13, 2023/Perspective

The rise of AI in the commercial payer world means we need to be more vigilant in appealing denials.

Proposed FY '25 SNF and IRF Rules: Payment Increases, Tougher SNF Enforcement

Apr 5, 2024/Review

SNFs must wait for a separate final rule on staffing requirements; IRFs avoid — for now — a transfer change that could mean reductions.

Mindfulness: Just What the PT Ordered

May 24, 2021/Perspective

I wanted to be a victor and not a victim in any situation. Mindfulness turned out to be my answer.

2022 Fee Schedule Calculator, Summary of Medicare Payment Changes Now Available

Jan 12, 2022/News

Get a handle on how CMS changes to the fee schedule, coding, and other issues will affect your practice.