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Does Medicare cover it?

Medicare covers millions of Americans receiving health care from a wide range of providers, who may each offer a variety of treatments. But not everything is covered by Medicare — and sometimes, Medicare Administrative Contractors can misinterpret coverage rules. That's why it's important to know where to go for reliable information.

For specific questions about coverage, contact advocacy@apta.org.


Recommended Content

CMS Medicare Coverage Database

May 1, 2020 / Website

Local Coverage Determinations

Oct 24, 2018 / Article

Skilled Maintenance Therapy Under Medicare

Dec 1, 2020

Medicare does indeed cover services to maintain or manage a beneficiary's current condition when no functional improvement is possible.

Additional Medicare Coverage Issues Content

The Win's Official: Congress Passes Suspension of Sequester Cut Through 2021

Apr 14, 2021 / News

The U.S. House of Representatives overwhelmingly approved the relief, which has been signed into law.

'Tis Always the Season: APTA's Ongoing Medicare Advocacy

Mar 24, 2021 / Roundup

When it comes to CMS, there's no such thing as "off-season." Here's how we're engaging with the agency on multiple fronts.

Bill Extending Temporary 2% Payment Increase Passes House; Senate Bill Ready

Mar 23, 2021 / News

In 2020, Congress temporarily boosted Medicare payment as part of pandemic relief. Legislators need to act now to extend the help.

Congressional Letters Regarding the Medicare Physician Fee Schedule

Mar 19, 2021 / Open Access

At the start of 2021 APTA collaborated with many other medical organizations to initiate communications with the new congress about the shortcomings of the current Medicare Physician Fee Schedule.

MPPR Calculator Instructions

Feb 5, 2021 / Resource

Medicare Payment Changes: 2021

Dec 28, 2020 / Resource

2021 brings numerous changes to Medicare regulation related to telehealth, the Physician Fee Schedule payment, NCCI edits, and the Quality Payment Program.

MIPS Data Collection Sheets - 2021

Jun 13, 2020 / Resource

APTA provides these data collections sheets and accompanying quick reference sheets to help you with claims-based MIPS reporting in 2021.

President Dunn: Medicare Payment Cuts Will Create Barriers to Care

Dec 21, 2020 / Statement

The COVID-19 relief package falls short of ensuring patient access, and a 3.6% cut threatens the viability of providers who offer safe, cost-effective care.

Busting Payment Myths Part 7: Medicare Status and Medicare Advantage

Nov 23, 2020 / Perspective

Medicare Status and Medicare Advantage


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