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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

Managed Care Contracting Toolkit

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Utilization Management and Utilization Review

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Major Insurers

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Additional Commercial Insurance Content

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.

UnitedHealthcare, Aetna Temporarily Drop 2% Cuts in Medicare Advantage Plans

Jun 4, 2020 / News

The insurers are mirroring CARES Act provisions that suspended the sequestration cut in Medicare payments.

Navigating Health Coverage During a Pandemic: Three Options

Jun 6, 2020 / Perspective

Due to COVID-19 millions of people have lost their jobs and consequently lost their health coverage. What happens then?

APTA Advisory: Humana Adopts Telehealth for PTs, OTs, SLPs

Jun 3, 2020 / News

PTs can now bill the insurer for common therapy codes, delivered via telehealth, for the duration of the public health emergency.

First Major Insurer Adopts a Permanent Telehealth Benefit

Jun 3, 2020 / News

BCBS of Tennessee will now include telehealth services even after the COVID-19 health emergency ends.

Commercial Insurers Take the Telehealth Lead

Apr 7, 2020 / News

Three insurance giants have each announced temporary benefit changes allowing PTs to bill for telehealth.


Related Courses and Events

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Live Webinar APTA Payment & Regulatory Update Series

May 19, 2021
2-3 p.m. ET

Live Webinar APTA Payment & Regulatory Update Series

Jul 21, 2021
2-3 p.m. ET

Live Webinar APTA Payment & Regulatory Update Series

Sep 22, 2021
2-3 p.m. ET

Live Webinar APTA Payment & Regulatory Update Series

Dec 1, 2021
2-3 p.m. ET