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CMS Offers Accelerated and Advanced Payments in Response to Change Cyberattack

Mar 13, 2024/News

The relief program could provide up to 30 days' payment — which would be recouped later — to improve short-term cash flow.

CMS Issues Final Rule on SNF Minimum Staffing

Apr 24, 2024/News

Nursing homes will be required to provide at least 3.48 hours of daily nursing care per resident, per day.

Targeting Fraud and Abuse in Home Health

Nov 1, 2016/Column

CMS launches a pre-claim review demonstration in 5 states. Here are the key points.

Proposed Medicare Outpatient Payment Rule Allows Payment for TKA in Outpatient Settings, Increases Overall Payment by 2%

Jul 17, 2017/News

If the proposed Medicare OPPS rule for 2018 gets adopted as-is, payment for TKA will no longer be an inpatient-only arrangement, outpatient hospitals would see an overall 2% increase in payments, and ambulatory surgical centers could see a boost of nearly that much.

The Proposed 2023 Fee Schedule: 5 Major Takeaways From APTA's Comments to CMS

Sep 27, 2022/Article

APTA had plenty to say about the underutilization of physical therapy, the squeeze on payment, and the need for an overhaul of the system.

Coding Interpretations: Group Therapy Patient Scenarios

Nov 13, 2018/Article

APTA staff provide interpretation of the one-on-one and group codes, regarding the delivery of outpatient physical therapy services.

CMS Suspends Advanced Payment Program, Will 'Reevaluate' Accelerated Payment

Apr 27, 2020/News

April 27, 2020: The programs curtailed by CMS require recipients to pay back the funds received.

2022 Annual Report

Apr 14, 2023/Annual Report

In 2022 we approached our mission with renewed energy, driven by an engaged membership that not only sees the potential for our profession, but is committed to action. Explore highlights of our impact in APTA's 2022 Annual Report.

Humana Joins Aetna and Cigna in Lifting Edits on Code Pairs

Feb 17, 2021/News

The payment win comes after APTA advocacy efforts with commercial insurers.

Proposed FY '22 IRF Rule: 2.2% Increase; Call for Input on Equity, Reporting

Apr 13, 2021/Review

As the U.S. health care system continues to struggle with a pandemic and its fallout, CMS keeps IRF payment changes relatively minimal.