Skip to main content

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

APTA Practice Advisory

Apr 1, 2022 / Column

APTA's Practice Advisory offers guidance for providing good faith estimates on the cost of physical therapist services.

APTA Practice Advisory

Mar 1, 2022 / Article

An APTA challenge to the proposed 2022 fee schedule enables PTs to use new CPT codes for remote therapeutic monitoring.

2022 Fee Schedule Calculator, Summary of Medicare Payment Changes Now Available

Jan 12, 2022 / News

Get a handle on how CMS changes to the fee schedule, coding, and other issues will affect your practice.

Payment and Regulatory Update - Dec. 1, 2021

Dec 1, 2021 / Members Only

Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates

Advocacy Update

Nov 23, 2021 / Podcast

As Congress attends to business in the last days before recess for the year, there are several important issues on the table, including a bill to address the fee schedule cuts, and legislation aimed at the PTA differential.

Busting Payment Myths (and Regulating Your Expectations) Part 4

Nov 15, 2021 / Article

Topics covered in this article: dry needling payment and telehealth audits.

Uncompensated Care: An Ongoing Challenge

Sep 30, 2021 / Column

Results of a recent APTA survey provide deeper insights.

Advocacy Update: Fight the Cut

Sep 3, 2021 / Podcast

This podcast provides an advocacy update focusing on the 2022 Medicare Physician Fee Schedule proposed rules. Where we areā€”and what needs to happen next.

Proposed '22 Hospital Outpatient and ASC Rule Ups the Ante on Price Transparency

Jul 23, 2021 / Review

CMS sets up penalties for noncompliance in the rule, which also includes a 2.3% pay increase and requests for input on a range of topics.

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.