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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
May 1, 2020 / Website
Find the current status of Medicare coverage. Provider users can search separate databases related to both NCDs and LCDs.
Oct 24, 2018 / Article
Understanding what they are, how they impact your practice and how to access the National Coverage Database to find a particular LCD.
Dec 1, 2020
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.
Additional Medicare Coverage Issues Content
Mar 27, 2024 / Resource
The 2024 Medicare Physician Fee Schedule added three CPT codes for providing caregiver education in the interest of an individual or a group of patients without the patient present.
Mar 1, 2024 / News
APTA and researchers across the country oppose the new policy, which could have a chilling effect on needed research.
Feb 28, 2024 / News
Describing health care providers as "at a breaking point," 32 senators urge short- and long-term fixes as the next spending deadline looms.
Jan 22, 2024 / News
The updated member benefit reflects where payment stands as of Jan. 19. If Congress makes changes, the tool will be updated.
Jul 14, 2023 / News
An APTA-backed law is prompting CMS to work out details on coverage of compression garments under Medicare. Here's where things stand.
May 19, 2023 / News
The new coverage determination means more beneficiaries have access to power elevation equipment for power wheelchairs.
May 9, 2023 / Podcast
Determining discharge patterns in Medicare Advantage plans.
Feb 21, 2023 / News
The change, supported by APTA, would cover power seat elevation equipment for Group 3 wheelchairs under Medicare. Public comment is open.
Jan 12, 2023 / Resource
APTA's Outpatient Therapy Medicare Physician Fee Schedule calculator helps you determine your payment for services under Medicare.
Nov 30, 2022 / Members Only
Topics discussed: 2023 Medicare Fee Schedule, 2023 Home Health Rule, Commercial Payer Update.