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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

The Impact of Administrative Burden on Physical Therapist Services

Nov 5, 2025 / Report (Open Access)

APTA Survey: Administrative Burdens Delay Access, Affect Outcomes

Jul 1, 2019 / News


Additional Administrative Burden Advocacy Content

UHC Continues Refinement of Prior Authorization Policy

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.

Medicare Physician Fee Schedule Cuts

Mar 18, 2025 / Statement

A Statement from APTA President Kyle Covington, PT, DPT, PhD

Congress Fails to Address Medicare Fee Schedule in Continuing Resolution

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.

APTA State Advocacy Map

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.

APTA, AMA, Others Demand Action From Congress to Address Fee Schedule

Mar 10, 2025 / News

Providers and patients are urged to call Congress on the proposed spending package before March 14 deadline.

Medicare Physician Fee Schedule Cuts: A Call to Action from APTA's President

Mar 10, 2025 / Statement

A Call to Action from APTA President Kyle Covington, PT, DPT, PhD