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Medicare Denials, Audits, and Appeals

Denials happen. So do successful appeals.

Securing Legal Counsel & Finding an Attorney

Sep 1, 2019/Article

For assistance with legal matters, PTs and PTAs should seek advice of legal counsel who can review their unique situation and provide advice tailored to the specific facts.

Considerations Related to the PT's Role in Nutrition and Diet

Jun 2, 2020/Article

PTs should consider several factors before engaging in nutrition and diet services.

Direct Access and Medicare

May 4, 2020/Article

Medicare beneficiaries can go directly to physical therapists without a referral or visit to a physician.

Medicare Payment for Home Health

We help you keep track of evolving payment policies for home health.

Supervision of Students in Skilled Nursing Facilities and Inpatient Rehabilitation Facilities Under Medicare

Jun 12, 2020/Article

Some requirements related to student involvement can vary depending on the setting.

Should You Participate in a Bundled Care Model? Considerations, Pros, and Cons

Feb 7, 2019/Article

Participating in a bundled care model can be a wise move, but only if you've taken the time to weigh the risks and benefits—and have an honest look at your practice.

Utilization Management and Utilization Review

Jul 22, 2019/Article

The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.

Multiple Procedure Payment Reduction

Dec 11, 2019/Article

MPPR is a payment policy designed to avoid duplicate payment for practice expenses when multiple procedures to the same patient on the same date of service.

Medicare Telehealth Coverage for Physical Therapists (Recorded Event)

May 7, 2020/Article

What's happening in Medicare in relation to telehealth and what APTA is doing to continue to advocate on behalf of the profession