American Physical Therapy Association of Delaware
US Centers for Medicare and Medicaid Services (CMS) has released details on how it will process claims made as a result of its decision to cover supervised exercise therapy (SET) in the treatment of peripheral artery disease (PAD).
The expansion covers physician-referred SET for up to thirty-six 30- to 60-minute sessions over a 12-week period. The sessions must be conducted … Read full post
Last night the U.S. House of Representatives released legislative language on Medicare extenders that are currently included in the continuing resolution (CR) to fund the government beyond the current February 8, 2018 expiration date. The good news is language to permanently repeal the hard therapy caps is included in the House bill. It would address this issue once and … Read full post
Because of inaction by Congress, the hard cap on outpatient therapy services under Medicare has been implemented. The cap, which began on January 1, 2018, includes no KX modifier exceptions and has created uncertainty for providers, patients, and their families.
APTA has requested that the US Centers for Medicare and Medicaid Services (CMS) provide information and guidance for providers on … Read full post
Efforts by the US Centers for Medicare and Medicaid Services (CMS) to make Medicare Advantage (MA) plans more accessible to more vulnerable beneficiaries are laudable, and provisions that would steer patients away from overuse of drugs are understandable, but CMS needs to be mindful of the unintended consequences of these and other changes, says APTA in its comments on proposed … Read full post
Physical therapist assistants (PTAs) are on their way to officially joining the TRICARE payment program used throughout the Department of Defense (DoD) health care system. President Donald Trump’s signature on the National Defense Authorization Act enacts a change long advocated by APTA, but what happens next isn’t entirely clear.
One thing that’s certain: the change won’t take effect immediately. APTA … Read full post
Some form of direct access to physical therapist (PT) services has been a reality in all 50 states since early 2015. But just how much of a reality is it? That’s another question.
A recent report from APTA analyzed data from a 2015 survey of nearly 6,000 PTs from all states and the District of Columbia to get a sense … Read full post
