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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

MPPR Calculator Instructions

Jan 12, 2023 / Resource

Payment and Regulatory Update: Nov. 30, 2022

Nov 30, 2022 / Members Only

Topics discussed: 2023 Medicare Fee Schedule, 2023 Home Health Rule, Commercial Payer Update.

Final FY 2023 SNF Rule: An Advocacy Win Brightens the Payment Picture

Aug 29, 2022 / Review

CMS took the advice of APTA and others, and made some additional adjustments of its own. The result: a welcome 2.7% increase.

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 /

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

Oct 1, 2021 / Column

This APTA Magazine article recaps results from an APTA member survey that explored the amount of time PTs spend engaging in coordination-of-care activities without receiving payment.

Advocacy Update: Fight the Cut

Sep 3, 2021 /

This podcast provides an advocacy update focusing on the 2022 Medicare Physician Fee Schedule proposed rules. Where we are—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.