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  • Payment Cuts Avoided in Proposed 2018 Physician Fee Schedule

    The proposed 2018 Medicare physician fee schedule (PFS) released today by the US Centers for Medicare and Medicaid Services (CMS) includes some positive news for physical therapists (PTs)—a proposal to maintain the values of some current procedural terminology (CPT) codes commonly used by PTs, and even increase values for a few.

    The proposed rule is a win for the profession and its ability to serve patients. CMS had been reviewing many of the CPT codes as potentially misvalued, putting them at risk for sizable reductions. The proposal includes no such reductions, a reflection of several years of work by APTA and its partners to maintain code values. Proposed increases in a few of the codes further underscore the effectiveness of those efforts.

    APTA will be advocating to maintain these proposed payment values in the final rule which will be released in November, and will submit comments to CMS by the September 11 deadline.

    CMS has also published a fact sheet summarizing the proposed rule.

    In addition to the fee schedule, CMS also released its proposed rule for the 2018 outpatient prospective payment system.

    APTA regulatory affairs staff are reviewing the proposed rules, and PT in Motion News will publish a follow-up report with more detailed information early next week.

    Comments

    • Thank you to everyone who has worked so hard and long on this. I know the fight is never over, but it is such a relief to know that the 12% cut I was expecting should not happen! GOD Bless you and the entire APTA Staff. Amanda Somers

      Posted by Amanda Somers on 7/13/2017 9:54 PM

    • Great news! Thank you to all of the staff, the APTA BOD, and APTA members that had a hand in this. It takes us all working together as an the APTA and our state chapters to generate outcomes like this. None of us could have an effect like this alone or within our workplaces.

      Posted by Mark Dwyer on 7/14/2017 11:38 AM

    • I know this is not on the table, but I own a neurological practice. We see patients one-on-one for 45 minutes. The MPPR kills us, the therapists who see the most disabled of the population of the USA. Does Medicare wonder (or know) that it is VERY difficult to maintain a business that treats neurological deficits.

      Posted by Kay Wing on 7/14/2017 5:50 PM

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