Payment & Reimbursement
❇️ Be the SPARC for Payment Change
Facing payer or reimbursement challenges in your pelvic health practice? Coverage, reimbursement, and payer policies can influence whether patients are able to access pelvic health physical therapy. APTA’s State Payer Advocacy Resources Consortium (SPARC) community connects PT professionals with resources, shared knowledge, and tools to navigate payment challenges and advocate for better payment and patient access.
Add your voice to the national effort to improve payment and patient access to physical therapy.
Take the APTA Payment Advocacy Pledge →
FREE EDUCATIONAL RESOURCE
APTA Behind the Numbers: How PT Services Are Valued and Paid
Ever wonder why some physical therapy services are reimbursed differently than others? Explore how procedure codes are valued, how payment rates are established, and the policies that influence reimbursement.
Free for members and nonmembers | On-demand | 1 contact hour
❇️ Be the SPARC for Payment Change
Facing payer or reimbursement challenges in your pelvic health practice? Coverage, reimbursement, and payer policies can influence whether patients are able to access pelvic health physical therapy. APTA’s State Payer Advocacy Resources Consortium (SPARC) community connects PT professionals with resources, shared knowledge, and tools to navigate payment challenges and advocate for better payment and patient access.
Add your voice to the national effort to improve payment and patient access to physical therapy.
Take the APTA Payment Advocacy Pledge →
FREE EDUCATIONAL RESOURCE
APTA Behind the Numbers: How PT Services Are Valued and Paid
Ever wonder why some physical therapy services are reimbursed differently than others? Explore how procedure codes are valued, how payment rates are established, and the policies that influence reimbursement.
Free for members and nonmembers | On-demand | 1 contact hour
Billing and Coding Basics
- Billing for your services
- Cash-based practices
- ICD-10 resources
- Medicare Coding & Billing
- Additional Resources
- ICD-10 for Pelvic Health (Member Access Only)
- CPT codes
- New Evaluation Codes for 2017
- Billing for a Cash Based Practice
Billing and Coding for Treatment of Women’s Health Issues
- Pelvic Floor Dysfunction Educational Tool for your insurer and referrer! Authored by the APTA and SoWH 10/19/2011
- Lymphedema billing and coding 101
- Guide to PT Practice, Practice Patterns
- Medicare Guidelines on Billing Biofeedback Medicare has National Coverage Determinations on Biofeedback Therapy for the Treatment of Urinary Incontinence (publication 100-03, section 30.1.1) and for Non-Implantable Pelvic Floor Electrical Stimulators (publication 100-03, section 230.8)
Current Issues in Reimbursement
- Medicare Cap
- Functional Limitation Reporting -APTA
- Functional Limitation Reporting for the Womens Health Patient-PTNow
- Health Insurance Marketplaces and Essential Health Benefits
- PQRS
- Copays
Denials and Appeals
Documentation Guidelines