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.
Jun 1, 2020 / Resource
Find practical guidance, applications, and key considerations that will impact and enhance your everyday practice under managed care.
Dec 11, 2019 / Article
MPPR is a payment policy designed to avoid duplicate payment for practice expenses when multiple procedures to the same patient on the same date of service.
Jul 22, 2019 / Article
The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.
Nov 4, 2019 / Open Access
Do you have a question regarding an insurer's payment policies and procedures? Maybe you need a current provider manual or need to speak with your designated provider representative. Here are links to major insurers throughout the region.
Additional Commercial Insurance Content
Mar 21, 2023 / News
The resource center, created by APTA and APTA Private Practice, now offers information on MPPR, the PTA differential, and more.
Nov 15, 2022 / News
APTA, AOTA, and ASHA successfully made the case for codes that can be applied to caregiver education for patients with functional deficits.
Aug 24, 2022 / Roundup
The PTA differential, MPPR, payment limits, and more.
Mar 15, 2022 / News
APTA and the Private Practice Section have collaborated to create SPARC — the State Payer Advocacy Resource Center.
Jan 25, 2022 / Perspective
Health insurance coverage for outpatient musculoskeletal rehabilitation disregards variability in prior level of function, rehabilitation progress, and personal recovery goals.
Jan 14, 2022 / Open Access
Access a variety of template letters you and your patients can use when your patient is denied coverage, the services approved are inadequate, or care is delayed, and a utilization management company is involved.
Dec 1, 2021 / Members Only
Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates
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.
Sep 29, 2021 /
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.
Jul 21, 2021 / Members Only
Topics discussed: Provider relief funding, vaccine mandates, DMEPOS, SNF and IRF final rules and commercial payer updates.