Sound payment policies ensure better patient access to care.
At a time when demand for physical therapy is growing, and despite a wealth of evidence that physical therapy helps patients achieve better health outcomes delivered in a collaborative, patient-centered environment, the Centers for Medicare and Medicaid Services (CMS) is attempting to make adjustments in Medicare Part B payment by reducing fee schedule reimbursement for codes tied to physical therapy. These reductions, planned for 2021, could result in an estimated 8% decrease in payment.
Why It Matters
A payment environment that's unlivable for physical therapists means that Medicare beneficiaries won't be able to access the care they need, when they need it. It's that simple.
APTA strenuously opposes any attempt to reduce payment for physical therapy under Medicare. We view the planned cut from CMS as a dangerous and shortsighted move that will harm patients and shutter clinic doors.
May 25, 2020 / Open Access
May 11, 2020 / Open Access
Feb 01, 2020
The MPPR policy implements a 50% payment reduction to the practice expense value of certain CPT codes deemed "always therapy services."
Sep 27, 2019 / News
Additional Medicare Physician Fee Schedule Advocacy Content
Apr 17, 2020 / News
APTA is urging lawmakers to look at both short- and long-term solutions.
Feb 10, 2020 / Perspective
It can be a challenge to keep up even if you’re working hard to pay attention.
Feb 05, 2020 / News
Congress wants answers related to CMS plans to cut payment in 2021.
Feb 01, 2020 / Column
Changes for 2020 include new codes for dry needling and changes to a number of existing codes.
Nov 04, 2019 / News
A major win, and a major challenge: that's what APTA and the profession are facing with CMS' release of the 2020 fee schedule.
Sep 18, 2018 / News
One CMS attempt to reduce administrative burdens is likely to result in reduced access to care for some of the sickest Medicare beneficiaries.