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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.

More PA Tied to Lower Hospitalization Risk for Common Diseases

Mar 10, 2023/Review

Higher levels of accelerometer-measured physical activity were associated with lower risk for nine of 25 common conditions.

Defining Moment: Searching for Answers

Apr 1, 2023/Article

For one PT, a lack of meaningful literature led to an illustrious career in clinical physical therapy research.

Study Identifies 11 Guideline-Based Recommendations for Musculoskeletal Pain

May 24, 2019/Review

A multidisciplinary group of researchers, including PTs, has identified a core set of 11 clinical practice guideline recommendations for treating adult musculoskeletal pain.

CMS Ramps Up Commitment to Health Care Equity

Apr 27, 2022/News

The agency laid out a general strategy for how it hopes to move the needle on disparities in access and outcomes.

Medicare Coding and Billing

APTA's regulatory experts keep you updated on changes to Medicare coding and billing.

Lower Extremity Functional Scale (LEFS) for Total Knee Replacement

Jan 22, 2013/Test & Measure

Measures pain, stiffness and physical fitness.

American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update

Aug 10, 2022/CPG

Provides recommendations for developing a comprehensive plan of care for a patient with diabetes, including managing comorbid conditions such as obesity, hypertension, and cardiovascular disease.

CMS Offers Settlement Option for Providers With Denial Appeals in Limbo

Feb 16, 2018/News

CMS is offering some providers a chance to settle backlogged claims denial appeals at 62% of net allowed amounts, but there are limits and deadlines involved.

APTA Fact Sheets on 2018 Outpatient Payment, Home Health Now Available

Nov 22, 2017/News

Now available to APTA members: context and details to help you understand final 2018 rules from CMS on the home health (HH PPS) and outpatient (OPPS) prospective payment systems.