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APTA has resources to help you navigate payment with commercial insurance.

Commercial payers have unique requirements.

To improve your chances for correct payment, make sure you are documenting appropriately.


Recommended Content

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Additional Commercial Insurance Content

Advocacy Update: Telehealth, UM, and Claims Challenges: Commercial Payers

Sep 29, 2021 / Podcast

APTA's monthly advocacy and regulatory update to keep you informed on issues that matter most to you in the areas of advocacy, regulatory issues, and payment.

Payment and Regulatory Update - Sept. 22, 2021

Jul 22, 2021 / Members Only

Sept. 22, 2021: Provider relief funding, vaccine mandates, DMEPOS, SNF and IRF final rules and commercial payer updates.

UnitedHealthCare Publishes CPT Codes for its Permanent Telehealth Provisions

Jun 2, 2021 / News

UHC is the first major insurer to keep telehealth for PTs beyond the public health emergency. Here are the codes that will be covered.

Big Win: UnitedHealthcare Makes Telehealth Permanent for PTs

May 26, 2021 / News

UHC is the first of the largest insurers to make the move advocated by APTA.

And the Beat Goes On: APTA's Commercial Payer Advocacy

Apr 21, 2021 / Roundup

Lots of payers with multiple plans mean the conversation never stops. Here are a few advocacy efforts that APTA is pursuing.

Defensive Contracting: Extrapolation, E-Payment, and Virtual Credit Cards

Mar 30, 2021 / Article

A quick explanation of two payer activities that you may encounter in a contract: what they are, what to look for, and what you can do.

Anthem's UM Arm Releases Guidelines on Clinical Appropriateness

Feb 5, 2021 / News

Included: lists of what is and isn't considered medically necessary under Anthem's MA, Medicaid, and commercial offerings.

Payment Win: Aetna Becomes Second Major Insurer to Lift Edits on Code Pairs

Feb 5, 2021 / News

The major commercial insurer follows Cigna in a decision to lift misguided coding edits, a target of APTA advocacy efforts.

Two More Insurers Make Telehealth Permanent for PTs

Oct 7, 2020 / News

AmeriHealth Caritas and Independence Blue Cross will implement the new coverage policies on Jan. 1.

Commercial Payers and the Post-Pandemic Landscape

Jul 27, 2020 / Column

Trends are clear. Provider planning is essential.