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Medicare Fee Schedule Resource Center

Legislative Action Center

Medicare Fee Schedule Calculator

Congress’ Last Actions on Medicare Fee Schedule

Last July, the United States House of Representatives and the Senate voted to override the Presidential veto to pass HR 6331 - the Medicare Improvements for Patients and Providers Act. HR 6331 included critical provisions for physical therapists and their patients, including legislation to avoid the 10.6% cut in payments under the Medicare physician fee schedule and the expiration of the therapy cap exceptions process. The House passed this legislation by a 383-41 vote and by a 70-26 Senate vote. A two-thirds vote was needed by the House and the Senate to override the Presidential veto. Once the Senate voted to approve HR 6331, it became law immediately on July 15, 2008.

Without Congress' intervention this year, a cut of 21% in payments under the Medicare physician fee schedule would occur January 1, 2010. We are hopeful that a long-term solution to the flawed payment system will be addressed in overall health care reform.

Updates & Resources

CMS: Medicare Physician Fee Schedule Payment Rates: 2009

Learn more at www.apta.org/medicareupdates.

Thanks!

The extensive advocacy by physical therapists and patients made the difference! Thanks for your work to ensure Medicare beneficiaries access to essential rehabilitation services provided by physical therapists and physical therapy assistants. APTA will continue to advocate for long-term policy solutions to the flawed payment formula, a permanent solution to the therapy cap once and for all, and other Medicare policy initiatives.


What You Can Do
Contact Congress via the Legislative Action Center.

PQRI
Quality Reporting Program (PQRI)

Additional Resources
Click here for Medicare Guidelines on the Fee Schedule

 
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