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  • 2019 MPPR Calculator Now Available

    It's back: APTA's members-only multiple procedure payment reduction (MPPR) calculator for 2019 is now live.

    This year's calculator incorporates both the MPPR 50% reduction as well as the overall 2% cut to Medicare payments implemented through sequestration. The calculator, delivered by way of an Excel spreadsheet, calculates Medicare physician fee schedule payment for procedures provided to a beneficiary on a given day.

    Added features this year include options for selecting your Medicare participation status—participating, nonparticipating but accepting assignment, or nonparticipating and not accepting assignment—as well as the ability to compare the 2019 payment rate with the rate in 2018. The calculator also includes a Merit-based Incentive Payment System (MIPS) adjustment feature, which isn't applicable to physical therapists this year but will become a useful tool beginning in the 2021 payment year.


    • When will the 2019 Physician Fee Schedule be available

      Posted by Gary Lynch -> >FV`< on 1/3/2019 3:48 PM

    • @Gary: The final 2019 physician fee schedule is in place. You can read the final rule here: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Federal-Regulation-Notices-Items/CMS-1693-F.html The CMS fact sheet on the fee schedule is here: https://www.cms.gov/newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year APTA's fact sheet on the fee schedule is here: http://www.apta.org/Payment/Medicare/CodingBilling/FeeSchedule/ Hope that helps!

      Posted by APTA Staff on 1/4/2019 7:14 AM

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