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In addition to helping the body recover from a painful episode, physical therapy and chiropractic can both help prevent further decline in function

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However, some protocols might explore alternate day dosing or even a loading phase followed by a maintenance dose

100-02, chapter 15, sections 220.1Conditions of Coverage and Payment for Outpatient Physical Therapy, Occupational Therapy, or Speech-Language Pathology Services, 220.1.2Plans of Care for Outpatient Physical Therapy, Occupational Therapy, or Speech-Language Pathology Services, and 220.1.3Certification and Recertification of Need for Treatment and Therapy Plans of Care, which convey our current policy that all outpatient physical therapy, occupational therapy, and speech-language pathology services are subject to requirements for certification and recertification at 424.24, whether furnished by providers or by suppliers such as therapists in private practice (TPPs)

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In the CY 2025 PFS proposed rule (89 FR 61919 and 61920), we solicited comment on whether the hypothetical marginal shared savings bands shown in Table 50 represent an appropriate tapering schedule that would provide sufficient incentive for an ACO to participate in a potential revised ENHANCED track, as well as whether the tapering schedule should begin with lower shared savings rates and feature increasing rates as an ACO generates greater amounts of savings