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APTA Results (507 Results)

Includes articles, courses, and CPGs. Unlimited access for APTA members.

Aetna Will Adopt PTA Pay Differential

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.

Bipartisan Group of Lawmakers Takes on PTA Differential, Offers Options

May 19, 2021/News

In a letter to HHS, 5 House members say a Medicare 15% payment differential for outpatient PTA and OTA services will harm rural areas.

Members-Only Payment Advocacy Resource Collection Grows

Mar 21, 2023/News

The resource center, created by APTA and APTA Private Practice, now offers information on MPPR, the PTA differential, and more.

Commercial Payer Update, August 2022

Aug 24, 2022/Roundup

The PTA differential, MPPR, payment limits, and more.

Win (for Now, at Least): Aetna Backs Away From PTA Differential

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.

APTA Continues PTA Advocacy: Pushback on PTA Differential, Timeline for TRICARE Startup, More

Oct 2, 2018/News

A rundown of some of the latest happenings in the association's advocacy for PTAs.

An Early Look at the Proposed 2022 Fee Schedule

Jul 22, 2021/Podcast

The proposed 2022 Medicare fee schedule is here, and as expected, cuts and the PTA differential are moving forward.

House Members Push for Better PTA, OTA Supervision Rules Under Medicare

May 10, 2022/News

Representatives are urging an APTA-backed move to general supervision for PTAs in outpatient settings.

The 2019 Fee Schedule, Part 3: The End of FLR, the Move to PTA-Specific Codes, and a Nod to Technology

Jul 25, 2018/News

This installment: there's more to the proposed rule than PTs being required to participate in the Quality Payment Program.

The Post-Therapy Cap System: 5 Basics You Need to Know

Feb 16, 2018/News

When Congress adopted a federal spending package that included the elimination of the hard cap on Medicare therapy services, lawmakers also adopted a new system of payment thresholds and triggers, and a differential payment rate for PTAs and OTAs.