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Utilization Management and Utilization Review

Jul 22, 2019/Article

The ultimate goal is the provision of patient-centered care at the lowest cost and maximum outcomes.

Provider Enrollment, Chain and Ownership System

Jun 14, 2019/Open Access

PECOS supports the Medicare Provider and Supplier enrollment process by allowing registered users to securely and electronically submit and manage Medicare enrollment information.

CMS Targeted Probe and Educate Program

Dec 10, 2019/Open Access

The CMS Targeted Probe and Educate program provides one-on-one assistance to reduce claims denials and appeals.

Appealing a Denial

Jan 28, 2019/Article

APTA provides general tips and a suite of templated letters that can help you make your case for an appeal.

Should You Participate in a Bundled Care Model? Considerations, Pros, and Cons

Feb 7, 2019/Article

Participating in a bundled care model can be a wise move, but only if you've taken the time to weigh the risks and benefits—and have an honest look at your practice.

Local Coverage Determinations

Oct 24, 2018/Article

Understanding what they are, how they impact your practice and how to access the National Coverage Database to find a particular LCD.

Multiple Procedure Payment Reduction

Dec 11, 2019/Article

MPPR is a payment policy designed to avoid duplicate payment for practice expenses when multiple procedures to the same patient on the same date of service.

How Climbing Has Shaped My Perspective as a Physical Therapy Student

Apr 1, 2020/Perspective

Climbing taught me how to be resilient and strong, and the lessons I learned in climbing remind me, that yes, we will get through this — together.

Did You Rapidly Adopt or Expand Telehealth for COVID-19? Here’s Our Post-Crisis Top 10 ‘To-Do’ List

May 1, 2020/Article

Did you rapidly adopt or expand telehealth in the early weeks of the COVID-19 pandemic? Here's what you should do next.

When Your Race Is a Comorbidity, COVID-19 Sheds Light

Apr 22, 2020/Perspective

There are things we, as individuals and as health care providers, can do to get off the hamster wheel of health disparities.