Advocates Gather to Support Texas Bills to Improve Access to Orthotics
O&P companies and advocates in Texas support key state bills to expand Medicaid coverage and improve access to orthotics and prosthetics.
Category: Medicare & Insurance
Medicare & Insurance
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Medicare & Insurance
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New Bill Would Improve Access to PTAs, OTAs
A new bipartisan bill introduced in the senate would standardize general supervision requirements for private outpatient practices under Medicare Part B.
Medicare & Insurance
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Medicare Bundles See 55% to 70% Cost Savings with Luna’s In-Home Outpatient PT Program, New Study Reveals
Luna shares study results demonstrating cost savings for in-home physical therapy compared to traditional home health for Medicare patients.
Congress: Block Medicare Cuts to Support Patient Access to Physical Therapy
We again need Congress to intervene in order to protect patients and providers and stop any further cuts to specialty care, CORA Physical Therapy’s Javier Othon writes, in MedCityNews.
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MindMaze’s MindMotion GO Gamified Therapy Granted CPT Codes
MindMaze Healthcare has been granted CPT Category III codes published by the AMA on November 1, 2021 and effective July 1, 2022.
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Survey Reveals Americans’ Threshold for Out-of-Pocket Healthcare Payments and Coverage Expectations
Americans are willing to pay out of pocket for physical therapy at a similar rate as regular screenings and check-ups, according to a recent survey commissioned by ATI Physical Therapy.
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Up to $2.5 Billion in Potential Revenue is Lost to Outside Providers, Per Luna Report
More than 55% of patients referred to health system physical therapy clinics are seeking care elsewhere––a trend that is costing provider organizations billions of dollars annually, according to a new report from Luna.
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Athletico Receives ‘Exceptional’ MIPS Score Again
Athletico Physical Therapy, a provider of physical and occupational therapy, voluntarily participated in CMS’s 2020 Quality Payment Program (QPP), resulting in its clinicians being recognized as top-tier providers under the nation’s premier quality of care measurement program.
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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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