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Alternative Payment Model Contracting Guide

Jun 1, 2017/Article

Get up to speed on terminology, questions to ask yourself, and factors to consider before you develop a contract to participate in an APM.

An Introduction to Alternative Payment Models

Apr 23, 2019/Article

Alternative payment models can seem hard to understand at first. We break down the basics.

Medicare Bundled Care Programs

Mar 9, 2018/Article

CMS is ramping up its use of bundled care models, including limited use of a mandatory bundling program in some parts of the country.

Alternative Payment Models Under Medicaid

Apr 6, 2026/Article

CMS also offers APMs focused on Medicaid beneficiaries. Here are the programs PTs need to know about.

Tiered Physical Therapy Evaluation and Reevaluation CPT Codes

May 27, 2020/Article

Since January 2017, PTs use three evaluation codes and one reevaluation code.

Medicare Payment for Skilled Nursing Facilities

We help you keep track of evolving payment policies for SNFs.

Multiple Procedure Payment Reduction and the Physician Fee Schedule

The MPPR policy implements a 50% payment reduction to the practice expense value of certain CPT codes deemed "always therapy services."

APTA 2022 CSM: Calling All ‘Pandemic Whisperers’ To Address Ethical Challenges

Feb 4, 2022/Article

The 53rd McMillan Lecture focused on ways the pandemic has highlighted the need to fully integrate ethics into the profession's identity.

Defensive Contracting: Extrapolation, E-Payment, and Virtual Credit Cards

Mar 30, 2021/Article

A quick explanation of two payer activities that you may encounter in a contract: what they are, what to look for, and what you can do.

Proposed CMS Hospitals Rule Ups Payment, Seeks Comment on Equity and Health Data

May 4, 2021/Article

The proposal continues CMS' emphasis on interoperability and expanded quality measures.