November 12, 2010
The article "Deficit Panel Wants Offsets As Obama Backs AMA's 13-Month Doc Fix" (November 10) contains inaccurate information about the multiple procedure payment reduction (MPPR) policy on outpatient therapy services. While the proposed fee schedule rule issued in June called for a 50% reduction to the second code and all subsequent codes billed per day of service, the final rule will implement a 25% cut on the second code and subsequent codes. Although the final rule implements a lesser reduction, the MPPR policy will have detrimental effects on physical therapists and the patients they serve.
The MPPR policy is unjustified, as it is based on a flawed analysis conducted by the Centers for Medicare and Medicaid Services in an effort to avoid duplication of payment when multiple services are furnished during a session or day. Practice expense values for the codes reported by physical therapists had already been reduced to avoid duplication during the Relative Value Update Committee (RUC) review process, thus making the MPPR an unfair and unnecessary policy.
Thank you for correcting this error.
R. Scott Ward, PT, PhD
American Physical Therapy Association