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CMS Offers Alternative Dispute Resolution for Some Providers With Unresolved Medicare A or B Appeals

May 15, 2018/News

Providers with Medicare Part A or B appeals that have been waiting for a decision are being offered a new option.

CMS Wants to Drop Functional Measure, 2 Quality Reporting Measures From IRF Requirements

May 9, 2018/News

CMS is continuing its trend toward easing administrative burdens by doing away with a longstanding functional assessment and 2 outcome measures.

CMS Hopes to Reboot 'Pre-Claim Demonstration' Proposal for HHAs in 5 States

Jun 1, 2018/News

CMS plans to revive a home health agency (HHA) "pre-claim demonstration" project it shelved in 2017 in the face of criticism.

From PT in Motion Magazine: Diversifying the Profession

Jun 6, 2018/News

An exploration of the importance of diversity within the physical therapy profession to improve the health of an increasingly diverse society.

The Good Stuff: Members and the Profession in the Media, May 2018

May 16, 2018/News

"The Good Stuff," is an occasional series that highlights recent media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual PTs and PTAs are transforming health care and society every day.

CMS to Expand List of DMEPOS Requiring Prior Authorization

Jun 11, 2018/News

CMS is adding 31 codes to its list of devices that require prior authorization under Medicare.

CDC Issues 'Call to Action' to Address Treatment Gaps for Children Experiencing TBI

Feb 27, 2018/News

The CDC sees TBI in children as a public health problem with a ripple effect—not only are children receiving inconsistent care at the time of injury, but variation in rehabilitation and recovery approaches can lead to disability that lasts through adulthood.

APTA Contributes to New 'Playbook' on Pain Management and Opioid Stewardship

Mar 12, 2018/News

The NQP Playbook: Opioid Stewardship, aims to provide "a blueprint to help address the nation's devastating opioid epidemic," according to Shantanu Agrawai, ME, MPhil, president and CEO of National Quality Forum (NQF), which sponsored the creation of the resource.

CMS, APTA: OIG Report on Outpatient Physical Therapy Claims Contains Possible Flaws and Questionable Assumptions

Mar 30, 2018/News

An HHS OIG report makes claims about physical therapy billing under Medicare, and both CMS and APTA are pointing out how flawed processes and misinterpretations are coloring the findings.

Humana Coverage Limitations: More of the Same

Feb 28, 2018/News

APTA recently voiced its concerns over the ways the health insurer characterizes physical therapy, its imprecise terminology, and its continued noncoverage of aquatic physical therapy and group physical therapy.