Skip to main content

Insurers are increasingly contracting with third-party vendors of utilization management programs, or "UM," to administer the rehabilitation benefit. This can create both challenges and opportunities for physical therapists in the commercial sector.

APTA provides strategies to mitigate the current and future impacts of UM use, including restrictive prior authorization policies, and ways to foster cooperation between providers and UM vendors so that both parties benefit.

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

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

Article

Utilization Management: Physical Therapist Checklist

Jul 22, 2019

Physical therapists can use this checklist to see how informed and prepared they are on issues related to UM.

News

Updated UHC Language Confirms Policy Change on Documenting Treatment Time

Jul 31, 2024

The latest update comes after clarifications the insurer released last year following a set of initially burdensome policy expansions.

News

Get Regular Insights on Regulatory, Legislative, and Payment Issues From APTA

Apr 17, 2024

Free to members, APTA's webinar series delivers crucial information in an easy-to-understand format. Register now for upcoming sessions.