GaitBetter Announces New CPT Add-On Code
This unique CPT add-on code facilitates reimbursement for therapy performed by the GaitBetter digital neurotherapeutics platform.
Category: Medicare & Insurance
Medicare & Insurance
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Medicare & Insurance
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CMS Recognizes Athletico Physical Therapy as a Top-Tier Provider
Athletico Physical Therapy therapists achieved a top-tier ranking among all US providers under CMS's quality of care measurement program.
Medicare & Insurance
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It’s a QCDR Four-Peat for FOTO
FOTO Patient Outcomes, a Net Health Company, has been approved for the fourth consecutive year as a Qualified Clinical Data Registry (QCDR) for 2022, it announces.
Specialty Providers Warn About Proposed 20% CMS Cuts To Office-Based Specialists
The flawed Physician Fee Schedule methodology and the deep cuts proposed by the Centers for Medicare & Medicaid Services threaten to drive office-based providers out of business and reduce Medicare beneficiary access, United Specialists for Patient Access warn.
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We Need a Reprieve from Payment Cuts, APTQI Director Opines
Nikesh Patel, PT, DPT, the executive director of the Alliance for Physical Therapy Quality & Innovation, shares his thoughts regarding the Medicare Physician Fee Schedule Proposed Rule for CY2022. Read more at The Hill.
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Medicare Cuts Will Hit 9% by 2024, APTQI Warns
The Medicare Physician Fee Schedule (MPFS) Proposed Rule for CY2022, again proposes deep, across-the-board payment cuts to physical, occupational, and speech therapy despite bipartisan lawmaker and broad healthcare stakeholder opposition, according to APTQI.
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Few Older Patients with Knee OA Receive Physical Therapy Prior to Surgery
Just 23% of Medicare beneficiaries with osteoarthritis who eventually underwent knee replacement ever had a physical therapy visit, according to data published in Arthritis & Rheumatology.
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Back Pain Claims Data Say This Drops the Cost of Care
WEA Trust and Kiio have released the results of an updated and expanded claims data analysis evaluating the impact of Kiio’s digital musculoskeletal (MSK) therapeutic on medical utilization and cost of care for low back pain.
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RecoveryOne and Cigna Team Up to Provide Virtual Physical Therapy
RecoveryOne’s virtual physical therapy solution targeting musculoskeletal (MSK) conditions and injuries is now available for Cigna’s employer clients with fewer than 500 employees, the company announces in a media release.
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PTA, OTA Payment Differential Could Harm Rural Areas, APTA and Others Warn
In a letter to HHS, five House members say a Medicare 15% payment differential for outpatient PTA and OTA services will harm rural areas, APTA reports.
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Telehealth for PT is Permanent Under UnitedHealthcare
In a major win for the profession and patients, UnitedHealthcare has become the first of the country’s largest private health insurers to adopt a permanent telehealth policy that includes PTs, the American Physical Therapy Association reports.
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Medicare Coverage for Parkinson’s Disease
If you or a loved one has Parkinson’s disease, it’s important for you to understand which parts of Medicare cover which treatments to avoid large, unexpected expenses. Read more at healthline.com.
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APTA-Backed Bill Aims to Reform Prior Authorization of Medicare Advantage Plans
HR 3173, an APTA-supported bipartisan legislation targeting misuse of prior authorization in Medicare Advantage plans, has arrived at the US House of Representatives, APTA reports.
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APTQI Urges Congress to Ensure Continued Patient Access to Specialty Care, Investment in MPFS
In a letter to Congressional leadership, APTQI and 62 stakeholder groups call on lawmakers to invest an additional $3 billion in the Medicare Physician Fee Schedule in order to ensure the stability of the healthcare system and prevent disruptions to patient care.
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FOTO Telehealth Study Highlights Value and Need for More Research
Results from a Phase 2 study conducted by Focus on Therapeutic Outcomes (FOTO), a Net Health company, provide key insights for payors and providers about the use of telerehabilitation services during COVID-19.
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But Seriously, Do PT and OT Really Help? 1.4 Million Cases Can’t Be Wrong
Physical therapy and occupational therapy provide functional benefits to most Medicare patients in postacute care settings, according to data from the “Therapy Outcomes in Post-Acute Care Settings” (TOPS) study.
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Senate Votes To Continue Suspension of Medicare Sequester Cut Through 2021
The compromise bill is likely to make it into law, but a lag in enactment could cause some logistical challenges, according to the APTA in a news release.
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The Pandemic May Be Worsening Healthcare Utilization Disparities
Increases in the use of telemedicine during the coronavirus pandemic among people with private insurance raise concerns that the pandemic may be worsening existing disparities in overall healthcare utilization, the RAND Corporation suggests.
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