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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

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

Results of a recent APTA survey provide deeper insights.

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 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.

'Tis Always the Season: APTA's Ongoing Medicare Advocacy

Mar 24, 2021 / Roundup

When it comes to CMS, there's no such thing as "off-season." Here's how we're engaging with the agency on multiple fronts.