This page provides Medicare information affecting physical therapists.
November 5, 2019:
Final 2020 Fee Schedule: CMS Relents on PTA Differential System for 2020; Presses on With Planned 8% Cut to Physical Therapy in 2021
"We've brought the association's voice to bear on the PTA modifier issue, and CMS listened. Over the next 12 months, we will leverage every possible opportunity – working with Congress and CMS--to change this flawed policy."
October 2, 2019:
Where Things Stand, What APTA's Doing: Fee Schedule, SNF, and HH Rules From CMS
Learn where things stand with CMS rulemaking, and what is APTA doing around the PFS and other developments. Here's a guide to 3 of the biggest rules issued to date in 2019, along with information on our advocacy efforts.
Skilled Nursing Facility PDPM & Home Health PDGM: What You Need to Know As part of overall efforts to move Medicare payment away from fee for service and toward a structure that holds providers accountable for patient outcomes and costs, CMS has made significant changes to the home health and skilled nursing facility (SNF) payment systems. The SNF Patient-Driven Payment Model (PDPM) began October 1 (the start of fiscal year 2020), and the Home Health Patient-Driven Groupings Model (PDGM) begins January 1, 2020. Learn more about these changes.
APTA Can Help Prepare You for Changes in Medicare Payment
Listen to the podcast.
The Changing Landscape of Federal Payment, Coverage, and Coding Policies
Live Webinar | December 10, 2019 (1:00 pm-2:00 pm, ET)
This session will provide an overview of Medicare and other federal payer reimbursement and coverage policies that physical therapy providers need to know in order to comply with all relevant rules and regulations in 2020. Presenters will discuss policies finalized in the 2020 Medicare Physician Fee Schedule Rule regarding the Quality Payment Program (Merit-based Incentive Payment System and Advanced Alternative Payment Models), PTA modifier policy, coding, and more; provide an update on Department of Defense TRICARE rules; review the new Veterans Community Care Program; and offer insight into APTA’s current federal advocacy efforts on administrative burden, telehealth, and more.