affordable care act

Proposed ACA Rules May Increase Provider Networks

The American Physical Therapy Association (APTA) reports that new proposed rules under the Affordable Care Act (ACA) released on March 14 include changes to provider network requirements that could help increase the number and variety of facilities as well as specialists offered by policies in the federally managed exchanges.

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CMS Announces Improved Cost-Sharing Protection for Medicare Patients Receiving PT Services

The Centers for Medicare & Medicaid Services (CMS) has announced greater cost-sharing protection for Medicare Advantage recipients receiving physical therapy services in 2015. As indicated on a news release from the American Physical Therapy Association (APTA), physical therapy was added to the list of services that will be protected by maximum out-of-pocket (MOOP) spending limits […]

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CMS Confirms October 1 Implementation Date for ICD-10

The Centers for Medicare and Medicaid Services (CMS) has confirmed that it will stick to its October 1, 2014, date for implementation of the new International Classification of Diseases, 10th Edition (ICD-10) codes, with no rollback of compliance dates and only limited “hardship exemptions” from the requirement, according to a news release from the American […]

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CMS Finalizes Cardiac Rehab Policy, No Changes to PT Coverage

The Centers for Medicare and Medicaid Services (CMS) has finalized its policy decision to expand coverage of cardiac rehabilitation (CR) to patients with stable chronic heart failure (CHF), but no significant changes were made to policies on physical therapy.  According to a news release from the American Physical Therapy Association (APTA), a CMS decision memo […]

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Delays in Manual Medical Review Processes Result of CMS Transition to New Audit Programs

The Centers for Medicare & Medicaid Service’s (CMS) is transitioning to new recovery audit program contracts, which will temporarily change pre- and post-payment manual medical review processes for therapy services over $3,700. In addition, the transition may also create delays in the typical 10-day review cycle, according to a news release from the American Physical […]

Revised CPT Codes Delayed Until 2016 for Additional Testing

The editorial panel of the American Medical Association’s (AMA) Current Procedural Terminology (CPT) document has opted to postpone the finalization of the revisions of an entire family of physical medicine and rehabilitation codes.

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Webinar to Discuss Updates on Health Care Reform

An upcoming webinar presented by the APTA Learning Center will provide an overview of the implementation of health care reform as well as the opportunities and challenges for physical therapists in a post-reform environment.