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Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.
(This article was updated on Dec. 4 from its initial publication on Aug. 19 to include additional clarifications and guidance from UHC.)
In disappointing moves that walk back needed reforms to burdensome prior authorization policies announced in August 2023, UnitedHealthcare has expanded prior authorization requirements within certain plans for follow-up PT visits when services are provided in office and outpatient hospital settings, effective Sept. 1.
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Proposed 2027 Medicare Physician Fee Schedule: What PTs Need to Know, Part 1
The U.S. Centers for Medicare & Medicaid Services estimates that physical therapy codes could see an overall payment increase of 1-3% under the Calendar
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APTA Master Class Series Brings Immersive, In-Person Learning to PTs and PTAs
The physical therapy profession continues to evolve in response to new technologies, changing payment models, emerging practice opportunities, and shifting
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APTA Members Unite to Advance Payment Advocacy Via New SPARC Forum and PledgeNew initiatives are empowering members to drive meaningful payment reform and strengthen the future of the profession.
