MEDICARE -- As of April 2026, 1.3 million Medicare beneficiaries are receiving new Medicare Beneficiary Identifier (MBI) numbers due to suspected data breaches. These new numbers became effective on April 14, 2026. Claims submitted with the old MBI for services on or after April 14, 2026, are being denied because the identifier is technically terminated. Are you seeing the "reason code 31605 or U5065, indicating an invalid or terminated MBI?" For dates of service entirely on or after April 14, 2026, the old MBI is no longer valid, requiring a resubmission with the updated identifier.

APTA created new guides so that physical therapists can not only understand value-based payment but also see how the evolution of the health care system will impact the profession across practice settings. APTA members can access the guides on the State Payer Advocacy Resource Center, or SPARC. PTs can consult the payer's guide to understand how therapy services are messaged to payers, which can help PTs in their own negotiations and advocacy efforts. New Payment Resources Help PTs Engage in and Be Paid for Value-Based Care | APTA

What You’ll Learn in This Episode: - Why the front desk is the most undertrained and underleveraged role in your practice - The real reason patients don’t show up and why it has nothing to do with demand - How broken intake, verification, and communication systems quietly kill revenue - What “Arrive, Pay, Stay” actually means and how it impacts your bottom line - The gap between patient experience and revenue cycle performance - Why most practices lose money before the first visit ever happens