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    • FEBRUARY 14, 2018
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    CMS Issues Coding, Other Details on Supervised Exercise Therapy for Peripheral Artery Disease

    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.

    • FEBRUARY 8, 2018
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    UPDATE: Therapy Cap Repeal

    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

    • JANUARY 11, 2018
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    The Hard Therapy Cap Has Arrived. What Does It Mean?

    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

    • DECEMBER 21, 2017
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    APTA Urges CMS to Consider Ripple Effects of Medicare Advantage Changes for 2019

    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

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