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Appealing a Denial

Jan 28, 2019/Article

APTA provides general tips and a suite of templated letters that can help you make your case for an appeal.

Local Coverage Determinations

Oct 24, 2018/Article

Understanding what they are, how they impact your practice and how to access the National Coverage Database to find a particular LCD.

Provider Enrollment, Chain and Ownership System

Jun 14, 2019/Open Access

PECOS supports the Medicare Provider and Supplier enrollment process by allowing registered users to securely and electronically submit and manage Medicare enrollment information.

Impact of COVID-19 on the Physical Therapy Profession

May 25, 2021/Report

This follow-up report includes new data based on a March-April, 2021, survey of PTs and PTAs.

Clinical Practice Guideline Workshop

APTA conducts an annual invitation-only workshop to help sections develop clinical practice guidelines.

APTA Clinical Practice Guidelines Development Manual

Jul 28, 2023/Resource

APTA is committed to helping PTs and PTAs develop, synthesize, and use credible evidence. Clinical practice guidelines are essential tools in this process.

Utilization Management and Utilization Review

Jul 22, 2019/Article

The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.

Multiple Procedure Payment Reduction

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.

Major Insurers

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.

Medicare Telehealth Coverage for Physical Therapists (Recorded Event)

May 7, 2020/Article

What's happening in Medicare in relation to telehealth and what APTA is doing to continue to advocate on behalf of the profession