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Multiple Procedure Payment Reduction and the Physician Fee Schedule

The MPPR policy implements a 50% payment reduction to the practice expense value of certain CPT codes deemed "always therapy services."

Alternative Payment Model Contracting Guide

Jun 1, 2017/Article

Get up to speed on terminology, questions to ask yourself, and factors to consider before you develop a contract to participate in an APM.

An Introduction to Alternative Payment Models

Apr 23, 2019/Article

Alternative payment models can seem hard to understand at first. We break down the basics.

Medicare Bundled Care Programs

Mar 9, 2018/Article

CMS is ramping up its use of bundled care models, including limited use of a mandatory bundling program in some parts of the country.

Alternative Payment Models Under Medicaid

Apr 6, 2026/Article

CMS also offers APMs focused on Medicaid beneficiaries. Here are the programs PTs need to know about.

Prior Authorization Comment Letters From APTA Members, Part 2

Feb 27, 2023/Article

We're sharing real-world examples of what makes for a great comment letter. This installment: an experienced PT's perspective.

Study: 'Profit-Maximizing' SNFs Were Quick to Decrease Staffing After PDPM

Jan 17, 2023/Article

Researchers analyzed the effects of the Patient-Driven Payment Model payment system — and the pandemic — on therapy staffing in SNFs.

Death From Falls Continues to Climb for Adults 65 and Older, CDC Says

Dec 9, 2022/Article

In the U.S., mortality rates from unintentional falls have risen dramatically between 2000 and 2020, nearly tripling for women 85 and older.

Final 2023 Medicare Physician Fee Schedule: What You Need to Know, Part 1

Nov 3, 2022/Article

Payment is the focus of this installment: Cuts, therapy thresholds, updated calculations that could be good for PTs, and more.

Final 2023 Medicare Physician Fee Schedule: What You Need to Know, Part 3

Nov 8, 2022/Article

In our final installment: MIPS, quality measures, MIPS Value Pathways, and more.