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CMS Promotes More Access to Nondrug Pain Management in Medicaid

Mar 5, 2019/News

Could states be doing more to increase access to nonopioid and nonpharmacological approaches to management of chronic pain under Medicaid? The US Centers for Medicare and Medicaid Services (CMS) thinks so, and has issued guidance that outlines options and shares examples of some states' promising initiatives.

CMS Home Health Preclaim, Postpayment Review System Again Ready to Launch in Illinois

Apr 5, 2019/News

After false starts, restarts, postponements, and more than a little pushback from APTA and other stakeholders, CMS is ready to once again roll out a home health agency (HHA) payment program in Illinois that would force HHA providers in the state to participate in preclaim or postpayment reviews—or choose

My Sparked Interest

Jul 16, 2019/Perspective

It was impossible not to get excited about this inaugural event.

Final IRF, SNF Rules for 2018 Vary Little From Proposed Rules Calling for 1% Increases, Quality Reporting Changes

Aug 1, 2017/News

The final 2018 rules for IRFs and SNFs released by CMS don't vary much from the proposed versions issued this spring, following through with proposals for an overall 1% payment increase, changes to reporting requirements, and updates to the list of ICD-10-CM codes.

CMS Hopes to Reboot 'Pre-Claim Demonstration' Proposal for HHAs in 5 States

Jun 1, 2018/News

CMS plans to revive a home health agency (HHA) "pre-claim demonstration" project it shelved in 2017 in the face of criticism.

#PTTransforms Blog: Keeping the Patient at the Center of Pain Management

Feb 28, 2018/News

A new #PTTransforms blog post goes beyond the opioid statistics to highlight patient-centered strategies suggested by the guests.

Advance Payment, Expedited Payment, and Loans? Commercial Insurers Reportedly Offering Relief

Apr 13, 2020/News

Reporting on insurers including UnitedHealth, state Blue Cross, Blue Shield, and others points to new programs designed to respond to the financial pressures clinicians are facing during the pandemic.

Responding to Patient Concerns About Workers' Comp During the COVID-19 Pandemic

Mar 31, 2020/News

Some patients may be understandably concerned about losing WC benefits if they choose to reduce travel during the national health emergency.

TRICARE Balks at Covering TENS and Dry Needling

Mar 6, 2020/News

TRICARE calls TENS "no more effective than placebo" and labels dry needling for LBP "unproven."

CMS Coding Reversal Will Apply to Claims Made Beginning January 1, 2020

Jan 29, 2020/News

Details are still emerging around exactly how CMS intends to walk back a decision to change coding methodologies that prevented PTs from billing an evaluation performed on the same day as therapeutic activities and/or group therapy activities. But we know a little more now: namely, that the decision