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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.
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Local Coverage Determinations, known as LCDs, are crucial to payment under Medicare. That's why it's important to understand what they are, how they impact your practice, and how to find a particular LCD.
Medicare does indeed cover services to maintain or manage a beneficiary's current condition when no functional improvement is possible if the services are medically necessary and meet the skilled care requirements.
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Following discussions with major health insurers on their commitments, including a pledge to reduce the number of services requiring prior authorization, the Centers for Medicare & Medicaid Services announced its Wasteful and Inappropriate Service Reduction, or WISeR, model. This model aims to selectively implement prior authorization within traditional Medicare.
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If enacted, PTs across the country would be allowed to secure substitute care for patients during an absence.
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The deal includes a three-month Medicare extension on telehealth.