This page provides Medicare information affecting physical therapists.
Call to Action
Send a Letter to Your Local News Editor
May 11, 2020: APTA encourages PTs, PTAs, and physical therapy students to use this template "Letter to the Editor" to send a letter to the editor of your local newspaper opposing the estimated 8% cut to Medicare Part B reimbursement in 2021 for physical therapist services. A letter to the editor allows you to contribute to the public debate on important matters and reach a large audience. Your local newspaper(s) will have guidelines on letter submissions and where to submit your letter. Access the template letter (.docx).
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
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