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APTA Results (5,004 Results)

Includes articles, courses, and CPGs. Unlimited access for APTA members.

Proposed CMS Outpatient Rule Would Adopt Further 'Site Neutral' Payment Policies

Jul 31, 2018/News

In its 2019 outpatient prospective payment system (OPPS) rule, CMS proposes to expand its use of a "site-neutral" payment model.

Payment Win: Aetna Becomes Second Major Insurer to Lift Edits on Code Pairs

Feb 5, 2021/News

The major commercial insurer follows Cigna in a decision to lift misguided coding edits, a target of APTA advocacy efforts.

Final CMS Rule for SNFs: a 2.2% Increase and Ongoing Monitoring of PDPM

Aug 3, 2020/Review

CMS will continue to collect information from APTA and others on how SNFs are reacting to the payment system.

Advocating for Coverage: Template Letters

Jan 14, 2022/Open Access

Access a variety of template letters you and your patients can use when your patient is denied coverage, the services approved are inadequate, or care is delayed, and a utilization management company is involved.

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.

APTA, Other Groups, Urge Short- and Long-Term Fixes to 'Broken' Fee Schedule

Aug 2, 2022/News

A joint letter to Congress pushes for immediate relief from the harms of the proposed 2023 fee schedule and calls for systemic changes.

5 Ways to Get the Most out of Volunteer Experiences

Apr 17, 2023/Roundup

It's no secret that APTA couldn't exist without its extensive network of member volunteers.

Proposed Medicaid, CHIP Rule Reflects State Movement Toward Managed Care Systems

Nov 13, 2018/News

As states continue to move toward wider use of managed care organizations in their Medicaid systems, the CMS is looking at ways to guide the evolution while maintaining state flexibility.

Dynamic Gait Index for Parkinson Disease

Jun 2, 2014/Test & Measure

Assesses an individual's ability to modify balance while walking in the presence of external demands

Final IRF, SNF Rules for 2018 Vary Little From Proposed Rules Calling for 1% Increases, Quality Reporting Changes

Aug 1, 2017/News

The final 2018 rules for IRFs and SNFs released by CMS don't vary much from the proposed versions issued this spring, following through with proposals for an overall 1% payment increase, changes to reporting requirements, and updates to the list of ICD-10-CM codes.