For additional assistance with payment and reimbursement issues, contact APTA's Payment and Practice Management department at 800/999-2782, ext. 8511 or at advocacy@apta.org.
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Benefit Management
Insurance Plan Design
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Joint Habilitation/Rehabilition Benefit Coverage Statement: Guide to Assessing Adequacy of Benefits (.pdf)
APTA, the American Occupational Therapy Association, and the American Speech-Language-Hearing Association developed this statement to encourage public and private insurers to advance the best value for their health care dollar while improving the quality of patient-centered health care services. Insurers, employers, individual insurance plan subscribers, and public policymakers can use this tool when considering any modifications to insurance benefit plan design. Rather than call for a specific number of rehabilitation/habilitation visits, this statement of guidance sets forth a set of principles that enable payers to deliver access to and coverage of appropriate habilitative and rehabilitative services for their patients.
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Audits, Denials & Appeals
APTA Template Letters: Appeals