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  • Senate Report Includes APTA Comments on Self Referral

    APTA's comments to the Senate Finance Committee's May 2012 request for input from health care stakeholders on 3 areas critical to Medicare and Medicaid reforms—program integrity, payments, and enforcement—have been included in the committee's recently released report titled "Opportunities to Curb Waste, Fraud and Abuse in Medicare and Medicaid."

    Specifically, the Senate Finance Committee writes about eliminating self referral in 2 sections of the report. Under the Beneficiary Protection section, the committee notes "concern that over-broad application of the Stark law exception for physician in-office ancillary services compromises patient care by incentivizing overutilization." The committee references "increasing enforcement of existing laws, such as the Stark law" under the area titled Enforcement.  

    More than 160 stakeholders in the health care community submitted comments to the Senate Finance Committee's request. During the 113th Congress, 6 Senators plan to work with key committees of jurisdiction, the Government Accountability Office, the Department of Health and Human Services Office of the Inspector General, and interested stakeholders to develop a more detailed list of administrative recommendations and potential legislative actions.  

    APTA's comments can be found on the association's Self Referral webpage.


    • If you could stop all the Dr that own PT clinics and refer patients directly to themselves post op, and worse yet W/COmp patients (all the good paying patients)and give me just an even playing field, I'd double my practice in 6 months. Also, if PTs would stop working for the POPTs we as a Profession could stop this nonsense even if the Drs didn't comply. I'm praying!!

      Posted by Jim Van Dyke PT on 2/9/2013 2:46 PM

    • I agree 100% with Jim Van Dyke!!

      Posted by Elliott Weiner PT on 2/9/2013 4:09 PM

    • The secret to success in our field is direct access. It is unfortunate that we as a profession are not on the direct path to this goal. A required Doctorate and residency program (or 5 yrs Experience in the field) for every practicing PT and the Physicians can no longer win the battle nationally. Their argument is the PT's do not have the education to safely see patients without Physician oversight. Until we listen to the other side of the argument, we will never win the battle. Then eliminating Physician ownership will be possible.

      Posted by Nathan Saffels, PT, DPT, OCS, SCS on 2/9/2013 7:55 PM

    • Nathan, it is a turf war for physicians. Once the educational objections are no longer valid, there will be new objections to direct access. And quadrupling the cost of our education will only have further enriched the Universities and professors.

      Posted by Sean on 2/12/2013 10:46 AM

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