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UHC, Optum Tighten Prior Auth Rules for Follow-Up PT Visits Under Many MA Plans

Aug 19, 2024/Article

Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.

CMS Releases New Details on the ACCESS Model, Including Payment Structure

Mar 11, 2026/Article

Note: This article was updated in April 2026 to include a link to CMS' directory of accepted ACCESS applicants. On Feb. 12, the Centers for Medicare & Medicaid Services released more details regarding its Advancing Chronic Care with Effective, Scalable Solutions, or ACCESS, model. Beginning July 5, ACCESS

Proposed 2022 Home Health Rule Puts PDGM Changes on Hold

Jun 30, 2021/Review

CMS uncovered some surprising data but can't tell the extent of the pandemic's influence on the numbers.

Embracing Divine Dissatisfaction: The Fifth Annual Woodruff Lecture

Jun 17, 2024/News

Recognizing that so many feel discouraged at growing resistance to DEI efforts, lecturer Julian Magee challenged the profession to turn discontentment into divine dissatisfaction.

IDEA at 50: What the Education Law Has Accomplished and How to Protect It

Dec 10, 2025/Article

Nov. 29 marked the 50th anniversary of the Individuals with Disabilities Education Act, a groundbreaking federal law that ensures children with disabilities are entitled to a free appropriate public education and that they receive related services, such as physical therapy, when needed. Under IDEA Part

2022 Elections Are Finally Over – How Do the Results Impact the Next Congress?

Dec 21, 2022/Perspective

Democrats will control the Senate. Republicans will control the House. What will it take to get things done?

Final IRF Rule: Payment Increase Grows to 3.2%; Data Collection Postponed

Aug 30, 2022/Review

Analysis of recent data led to the payment boost, and concerns about provider burden helped delay a universal assessment requirement.

Foundation for Physical Therapy Research Grants Announced

Jan 10, 2024/News

A total of $810K in funding will help researchers investigate a wide range of topics relevant to the profession and the patients it serves.

Is AI Making Claim Denials in Error? What Does It Matter if We Don't Appeal?

Dec 13, 2023/Perspective

The rise of AI in the commercial payer world means we need to be more vigilant in appealing denials.

Government Shutdown Ended: Telehealth Flexibilities Extended Until Jan. 30, 2026

Nov 17, 2025/News

On Nov. 12, the longest shutdown in U.S. history ended after both the Senate and House of Representatives passed a temporary spending bill that the president immediately signed into law. The legislation funds military construction, veterans' affairs, the Department of Agriculture, and the legislative