The Centers for Medicare and Medicaid Services (CMS) is attempting to make adjustments to Medicare Part B by reducing fee schedule payment for codes tied to physical therapy. These reductions, planned for 2021, could result in an estimated 8% decrease in payment. The time to act is now.
Let Your Voice Be Heard
If you or your practice would be affected by the estimated 8% cut in 2021, speak out through APTA's Legislative Action Center. There are opportunities for members, nonmembers, and patients.
Keep Up With Regulatory Advocacy on the Cut
APTA provides comments on federal regulations and draft guidance—so can you. The comment period on the proposed cut will open in July 2020 and close in September.
The Cut: Origins and Context
The article provides background and outlines APTA's arguments against the cut.
Recorded Webinar: The Changing Medicare Landscape
This recording of a December 10, 2019, webinar features APTA regulatory affairs staff discussing important aspects of the 2020 physician fee schedule—including the proposed 2021 cut—and answering member questions.
The proposed cut is just the latest in an unsustainable pattern of CMS payment reductions for physical therapy that threaten to prevent patients from getting the care they need, when they need it. These handouts can help you tell the story as you advocate.
APTA Regulatory Review: Final Physician Fee Schedule for 2020 - November 2019
APTA Comment Letter to CMS: Impacts of Proposed 8% Cut (.pdf)
Getting a Handle on the Fee Schedule: 6 Things to Know About the New PTA Modifier and Estimated 2021 Cut
Congressional Letter to CMS Regarding Proposed Cuts for 2020 Physician Fee Schedule (.pdf)
Provider Associations' Sign-on Letter on Proposed Reimbursement Cuts (.pdf)
Handout: The Value of Physical Therapy in Preventing Falls (.pdf)
Lawmakers Want Answers From CMS on Planned 2021 Payment Cuts - 2/5/2020
Getting a Handle on the Fee Schedule, Part 2: 4 Things to Know About the KX Modifier, MIPS, Dry Needling, and Revocation - 11/22/19
Final 2020 Fee Schedule: CMS Relents on PTA Modifier System, Presses on with Planned 8% Cut to Physical Therapy in 2021 - 11/4/19