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APTA has resources to help you navigate payment with commercial insurance.
Commercial payers have unique requirements.
To improve your chances for correct payment, make sure you are documenting appropriately.
Recommended Content
Jun 1, 2020 / Resource
Find practical guidance, applications, and key considerations that will impact and enhance your everyday practice under managed care.
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.
Jul 22, 2019 / Article
The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.
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.
Additional Commercial Insurance Content
Apr 17, 2024 / News
Free to members, APTA's webinar series delivers crucial information in an easy-to-understand format. Register now for upcoming sessions.
Mar 22, 2024 / Roundup
The Feb. 21 hack of the data interchange company caused disruptions for providers and patients. Here's an information roundup.
Mar 15, 2024 / News
After putting the move on hold for three months, the insurer implemented the reduction March 1.
Jan 23, 2024 / News
The insurer says only employer-sponsored plans are affected by its late 2023 decision to stop payment on telehealth-related codes.
Dec 13, 2023 / Perspective
The rise of AI in the commercial payer world means we need to be more vigilant in appealing denials.
Nov 29, 2023 / News
The latest clarification from the mega-insurer comes after it released a set of burdensome policy expansions earlier this year.
Nov 1, 2023 / News
Aetna put its decision on hold, giving APTA time to press for a permanent shift. Other news from the insurer isn't as good.
Sep 12, 2023 / News
The 15% reduction, set to begin Dec. 1, would mimic CMS cuts adopted in 2022. APTA is pressing Aetna to reconsider.
Aug 18, 2023 / News
The changes, which affect outpatient physical therapy, DME, and home care, are part of a UHC effort to reduce administrative burden.
Jul 26, 2023 / News
UHC has dropped a signoff requirement that sparked concerns from APTA.