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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.


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Additional Administrative Burden Advocacy Content

APTA 2021 Statehouse Roundup: New Prepayment Review Law, Imaging Wins, More

Jul 26, 2021 / Roundup

From better insurer responsiveness to direct access improvements, to breakthroughs on PT use of imaging, lots of state-level achievements.

APTA-Backed Bill Presses for Medicare Advantage Prior Authorization Reforms

May 17, 2021 / News

The legislation would require MA plans to share data, provide transparency, create more efficient systems, and do a better job of listening.

PTAs, Direct Access, Plans of Care, and More: APTA and Components Press for...

Jan 31, 2020 / News

Here's how CMS could truly put "patients over paperwork."

JAMA: Easing Administrative Complexity, Eliminating Low-Value Care Among Wa...

Oct 22, 2019 / Review

A review found that the estimated annual cost of health care waste ranges from a total of $760 billion to $935 billion.

CMS Releases a Burden Reduction Rule That Affects a Wide Range of Facilitie...

Sep 30, 2019 / Review

A CMS rule aimed at reducing Medicare- and Medicaid-related regulatory burdens for the most part hits the target.

Easing Administrative Burden

Nov 2, 2018 / Article

When regulatory proposals are of interest to you, it's important to take that opportunity to use your voice.

US House Members Echo APTA, Coalition Members' Call for Reduced Use of Prio...

Oct 15, 2018 / News

A bipartisan group of 103 legislators signed on to a request for investigations around the use of prior authorization in MA.

APTA Adds Its Voice to Coalition Calling for Medicare Advantage to Rein in ...

Apr 16, 2018 / News

It's time for the public-private hybrid system to evolve and move away from excessive use of prior authorization.

Major Health Industry Groups Look to Streamline Prior Authorization

Jan 19, 2018 / News

6 major health industry groups issued a consensus statement outlining 5 ways the health care system could "improve the [prior authorization] process, promote quality and affordable health care, and reduce unnecessary burdens."

The Utilization Management Toolkit

Aug 1, 2017 / Column

A new compendium of resources is designed to help PTs ensure patient-focused care while reducing health care costs.