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  • MedPAC Updates its Medicare 'Payment Basics' Series

    Need a quick, big-picture take on how Medicare payment works in various settings? The Medicare Payment Advisory Commission (MedPAC) offers an updated resource that can help.

    Now available for free download: MedPAC's latest version of "Payment Basics," a series of informational sheets that describe the need-to-know elements of 20 different Medicare payment systems. Areas covered include outpatient therapy, skilled nursing facilities, home health services, hospital acute inpatient services, and more. The newest version of the resource updates the 2018 edition.

    Most information sheets provide background on how the system is organized and flowcharts for a visual representation of how that particular payment system works.

    Quick facts from MedPAC Payment Basics: According to the MedPAC report on outpatient therapy, in 2017 Medicare spent $8 billion on outpatient therapy services, a 6% increase from 2015. Physical therapist services accounted for 72% of all spending in this area. In terms of settings, nursing facilities and physical therapy private practice clinics accounted for 71% of the spending, at 37% and 33%, respectively. Hospitals were next, at 16%.

    Comments

    • Be assured they will use this data to say therapists are over-compensated and push for reduced payment, again.

      Posted by ANAMARIE CUNNINGHAM on 10/30/2019 9:55 AM

    • I am a Physical Therapist Assistant and I work in the home health setting. I would like to say that I am not over paid. Actually I haven't received an increase in my pay for 8 yrs now. This makes things difficult financially because all my expenses continue to increase. I've been a PTA for 20 yrs now and I'm sad to say this is the most that I'll be able to make. Most therapist I know live paycheck to paycheck or very close to it. The decrease in Medicare payment will adversely affect patient care due to insufficient staff. There have been studies to prove that patients have improved daily living when they receive Physical and Occupational Therapy.

      Posted by Diana Miller on 11/3/2019 9:57 PM

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