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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.
Additional Medicare Coverage Issues Content
Apr 1, 2022 / Column
APTA's Practice Advisory offers guidance for providing good faith estimates on the cost of physical therapist services.
Mar 1, 2022 / Article
An APTA challenge to the proposed 2022 fee schedule enables PTs to use new CPT codes for remote therapeutic monitoring.
Jan 12, 2022 / News
Get a handle on how CMS changes to the fee schedule, coding, and other issues will affect your practice.
Dec 1, 2021 / Members Only
Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates
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.
Nov 15, 2021 / Article
Topics covered in this article: dry needling payment and telehealth audits.
Sep 30, 2021 / Column
Results of a recent APTA survey provide deeper insights.
Sep 3, 2021 / Podcast
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.
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.
Apr 14, 2021 / News
The U.S. House of Representatives overwhelmingly approved the relief, which has been signed into law.