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Cash-Based Payment and Medicare Services: No Exceptions to the Rules

The short answer is that no exceptions allow PTs to bypass these requirements.

Exploring and Expanding Your CPT Code Inventory

Mar 1, 2019/Column

The 97000 series is key. But wait-there's more.

CMS Sheds More Light on the PTA Modifier; APTA Updates Its Quick Guide

Mar 8, 2021/News

Expanded CMS resources include more examples. APTA revised its guide and offers additional insight.

APTA Guidance: Mobility Device Clinical Documentation

May 5, 2021/Article

As with other documentation of PT services, you must show the need for the care you provide and equipment you recommend.

Administrative Burden Win: UnitedHealthcare Walks Back Plan of Care Change

Jul 26, 2023/News

UHC has dropped a signoff requirement that sparked concerns from APTA.

Raters Gonna Rate

Sep 1, 2015/Feature

What's Your Best Response?

Coding Interpretations: Group Therapy Patient Scenarios

APTA provides its interpretation of the one-on-one and group codes, using patient care scenarios and an analysis of the proper coding for them. Although these scenarios have been submitted to CMS, APTA has received no response from the agency as to its agreement or disagreement with APTA's interpretations.

ONC, HHS Finalize Penalties for Information Blocking Violations

Jul 25, 2024/News

Violating info blocking rules could impact a PT’s participation in the CMS Quality Payment Program; see APTA's updated Practice Advisory.

General Self-Efficacy Scale (GSE)

Aug 4, 2021/Test & Measure

This summary reviews a questionnaire to measure self-efficacy and contains information on use of it to screen patients or clients in a general clinical setting and reviews the use of this questionnaire with adolescents and adults in a general clinical setting without regard to a specific diagnosis or

Cohere To Take Over All MSK, Therapy Prior Authorization for Humana

Nov 12, 2021/News

Humana's decision to rely solely on Cohere beginning Jan. 1, 2022, comes after a 12-state program rolled out this year.