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Excessive time and resources spent on documentation and administrative tasks can hurt patient outcomes.
Coding and billing, prior authorization, utilization review, excessive documentation standards, overly complex health IT—the unnecessary hoops PTs are required to jump through demand time and energy that could be focused instead on providing patient-centered care. Reduced administrative burden is something that needs to happen in every practice setting and payer, both commercial and federal.
Why It Matters
An APTA survey of members found that nearly 75 percent of respondents believe that administrative burdens such as prior authorization delay access to medically necessary care by 25%, and nearly as many agreed that these burdens negatively impact patient outcomes. More than 8 in 10 said that administrative burden contributes to burnout. And unnecessary burden is costly: our survey found that more than 75% of facilities have added nonclinical staff to accommodate administrative burden.
Care is being shortchanged. Providers are being pushed to their limits. Facilities are being forced to redirect money away from direct care to pay for unnecessary paperwork. It's time for a change.
Our position
APTA vigorously works to fight excessive administrative burden in whatever form it takes, and in all payment systems.
Recommended Content
Nov 5, 2025 / Report (Open Access)
Administrative requirements imposed by payers continue to significantly burden physical therapists and negatively impact patient care, according to APTA's third and most recent survey on administrative burden.
Jul 1, 2019 / News
A wide majority of PTs say administrative burden negatively impacts patient outcomes and contributes to clinician burnout.
Additional Administrative Burden Advocacy Content
Nov 12, 2025 / News
Oct 14, 2025 / Article
Sep 24, 2025 / News
Mar 26, 2025 / Article
Mar 21, 2025 / News
Process changes, such as more real-time information and a shortened form for fewer visits, are meant to allow PTs to treat patients quicker.
Mar 18, 2025 / Statement
A Statement from APTA President Kyle Covington, PT, DPT, PhD
Mar 17, 2025 / News
Legislation averts government shutdown and provides six-month extension on telehealth but abandons dozens of health care providers facing payment cuts.
Mar 13, 2025 / Resource
Members can seamlessly navigate through the widget map to discern whether a state chapter supports, opposes, or is neutral on a bill.
Mar 10, 2025 / News
Providers and patients are urged to call Congress on the proposed spending package before March 14 deadline.
Mar 10, 2025 / Statement
A Call to Action from APTA President Kyle Covington, PT, DPT, PhD