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Trump Administration Encourages Reopening of Healthcare Facilities | Record spikes in new coronavirus cases, hospitalisations sweep parts of US | WHO chief warns of a ‘resurgence’ as over 100,000 cases have been reported worldwide each day over the past two weeks | AMA – Doctors To Work To End Police Brutality, Racism In Healthcare| CMS warns nursing homes against seizing residents’ stimulus checks|

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The following prior authorization provisions apply to all Individual and Group Market health plans, and Medicaid and Medicare Advantage plans. A 90-day extension, based on original authorization date, of open and approved prior authorizations with an end date or date of service between March 24, 2020 and May 31, 2020, for services at any care […]

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ome major advocacy pushes for the profession are getting attention: A bipartisan bill introduced into the U.S. House of Representatives targets several big legislative issues being worked on by APTA, including a proposed severe cut to Medicare payments and permanent continuation of physical therapy delivered via telehealth. If adopted and signed into law, the legislation […]

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The Department of Health Care Services (DHCS) identified a claims processing issue affecting claims for Covid-19 HCPCS Code U0001, U0002 and CPT Code 87635. This issue caused claims to erroneously deny. The issue affected claims for dates of service from February 4, 2020, through April 9, 2020. No action is required on your part. The […]

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ne recent analysis suggested that there could be “unprecedented growth” in the individual health insurance market. “The impact of COVID-19-related job losses will likely more than double the current enrollment in Individual & Marketplace plans, with the potential for the Individual market to triple in size to over 35 million in a sustained and severe […]

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he Centers for Medicare & Medicaid Services (CMS) today issued a final rule that continues the Trump Administration’s efforts to promote affordability, improve consumer choice, ensure program integrity, and increase market stability. In response to the coronavirus disease 2019 (COVID-19) pandemic, CMS is also announcing today a one week extension of the Qualified Health Plan (QHP) certification […]

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The Basics Physical therapists in private practice are eligible to bill Medicare for certain services provided via telehealth. [Editor’s Note: APTA is seeking confirmation as to whether services furnished by PTAs via telehealth are eligible for reimbursement.] Services that started as of March 1, 2020, and are provided for the duration of the public health […]

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