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CMS wants to impose further payment cuts and roll out a flawed payment differential plan for PTAs. We can't let that happen.

The Issue

The 2022 Medicare Physician Fee Schedule rule includes a significant payment reduction to a number of providers, including to outpatient physical therapy services and implementation of a payment differential for services delivered by PTAs, with no mitigating policies. In addition, CMS declines to add therapy codes to the list of services permanently authorized for telehealth, and does not plan to authorize PTs to use remote therapeutic monitoring codes. 

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Why It Matters

These cuts never made sense. During a pandemic, they’re even more devastating. We should be encouraging access to PTs and PTAs, who can aid in recovery from COVID-19, prevent falls, reduce opioid use, and help patients avoid costly procedures. Instead, CMS is creating barriers.

Our Position

APTA strenuously opposes any attempt to reduce payment for physical therapy under Medicare, and views the PTA differential policy as a threat to patient access to care that could hit rural and underserved areas especially hard. We view the cut from CMS as a dangerous and shortsighted move that will harm patients and shutter clinic doors.

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Check out more info on the PTA Differential issue on this page. 


Recommended Content

Position Paper: Medicare Fee Schedule

Dec 2, 2021 / Position Paper

Final 2022 Fee Schedule: Cuts, PTA Differential Remain — Focus Turns to Congress

Nov 3, 2021 / Review

The PTA Differential: History, What We're Doing, and Your Role in the Fight

Aug 20, 2021 / Open Access

Proposed 9% cut: the history, what we're doing, and your role in the fight.

Aug 24, 2020 / Open Access


Additional Medicare Physician Fee Schedule Advocacy Content

Big Win: APTA-Supported Medicare Fix Passes Congress

Dec 10, 2021 / News

The package, which combines additional funding and delays to planned cuts, will be signed into law before year's end.

Win: House Passes Legislation To Reduce 2022 Medicare Cuts; Bill Goes to Senate

Dec 8, 2021 / News

The APTA-supported package readied for the Senate includes an offset to the payment cuts and delays in other reductions.

Payment and Regulatory Update - Dec. 1, 2021

Dec 1, 2021 / Members Only

Dec. 1, 2021: Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates

Let's Go: Time to Write Legislators and Press for the Payment Cut Fix

Nov 29, 2021 / News

Lawmakers are back. A bill has been introduced that could offset the cuts. It's time to make this happen.

New APTA-Backed Bill Could Offset Planned Medicare Payment Cuts

Nov 22, 2021 / News

Bipartisan legislation is now in the U.S. House. Use APTA's Action Centers to tell Congress to act.

Position Paper: PTA Differential

Aug 13, 2021 / Position Paper

Beginning in January 2022, payment for Medicare Part B services provided by PTAs will be reduced by 15% due to a provision in the Balanced Budget Act of 2018.

Majority of U.S. House Wants To Offset Medicare Cuts and Reform the Fee Schedule

Oct 18, 2021 / News

In an APTA-supported letter to House leadership, a bipartisan group of lawmakers calls for immediate relief and longer-term fixes.

APTA-Backed Bipartisan House Bill Takes Aim at PTA Differential

Oct 13, 2021 / News

The SMART Act would delay implementation, spare rural and underserved areas, and relieve PTA supervision burdens.

Fee Schedule Advocacy, Part II: Get Ready, Congress

Sep 24, 2021 / News

On the heels of APTA's successful grassroots effort aimed at CMS, we're focusing attention on Capitol Hill.

Advocacy Update: Fight the Cut

Sep 3, 2021 / Podcast

This podcast provides an advocacy update focusing on the 2022 Medicare Physician Fee Schedule proposed rules. Where we are—and what needs to happen next.