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Use of 59 or X Modifiers for Code Pairs Decision Tree

Jun 10, 2020/Open Access

Use this decision tree to help you determine if the code combination can be used and whether it requires an X modifier (XE, XP, XS, XU) or modifier 59.

Proposed 2025 Home Health Rule: Cuts Continue at 1.7%; CMS Responds to Calls for Accountability for Timely Care

Jul 3, 2024/Article

While payment cuts would continue as fallout from the Patient-Driven Groupings Model, CMS also proposes changes to create more transparency in accepting patient referrals and asks for input on two important aspects of care.

Innovations in Telehealth

Apr 1, 2017/Feature

As telehealth moves from theory to practice, here's an update.

Maley Lecture: Cancer Rehabilitation: Insights On the Future of Our Practice

Jul 6, 2020/Video

Nicole Stout, PT, DPT, FAPTA, focuses on implementation of prospective surveillance models as she challenges PTs and PTAs with the question, "Why are we waiting?"

Major Insurers

Nov 4, 2019/Open Access

Do you have a question regarding an insurer's payment policies and procedures? Maybe you need a current provider manual or need to speak with your designated provider representative. Here are links to major insurers throughout the region.

APTA Practice Advisory: Remote Therapeutic Monitoring Codes Under Medicare

Jun 6, 2025/Resource

The Medicare Physician Fee Schedule final rule for 2022 added five CPT codes for remote therapeutic monitoring. Physical therapists may bill these RTM codes under Medicare, and the codes also may be billable under commercial insurance plans. The new codes are available in the Medicine Section of the

Lower Extremity Functional Scale (LEFS) for Knee Disorders

Sep 25, 2013/Test & Measure

Lower Extremity Functional Scale (LEFS) for Knee Disorders

Prevention of Acute Exacerbations of COPD

Apr 1, 2015/CPG

This guideline by the American College of Chest Physicians and the Canadian Thoracic Society provides a rigorous, evidence-based analysis of randomized controlled trial data regarding the prevention of COPD exacerbations.

Management of Bladder Pain Syndrome (Green-top Guideline No. 70)

Dec 1, 2016/CPG

Recommendations on the symptoms and treatment options for bladder pain syndrome (BPS) in women while addressing current uncertainties surrounding this condition.

VA/DoD Clinical Practice Guideline for the Use of Opioids in the Management of Chronic Pain, Version 4

May 1, 2022/CPG

Guiding framework to evaluate, treat, and manage needs of patients with chronic pain who are on or being considered for long-term opioid therapy (LOT).