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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 proposed 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. 

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.

Stay Up to Date

APTA members can join the APTA Advocacy Network for free to receive action alerts on federal legislative issues, and more.

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

#FightTheCut Virtual Rally

Wednesday, Sept. 1 (9:30 a.m.-6 p.m.)
Let's raise our voices together to oppose proposed Medicare payment cuts for outpatient physical therapist services and a flawed "differential" system that drops payment for PTA services by 15%.


Recommended Content

The Medicare Payment Cuts: History, What We're Doing, and Your Role in the Fight

Aug 20, 2021 / Article

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

Aug 20, 2021 / Open Access

An Early Look at the Proposed 2022 Fee Schedule

Jul 22, 2021 / Podcast

Let's Do This: Customizable Comment Letters on Fee Schedule Now Available

Jul 28, 2021 / News

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

Advocacy Update: Fight the Cut

Sep 3, 2021 / Podcast

Your Patients Need To See This — And Act

Aug 31, 2021 / News

The PTA differential and proposed cuts to payment under Medicare put patients at risk. APTA makes it easy for them to speak up.

Payment Cuts and PTA Differential: Act (and Learn)

Aug 27, 2021 / Roundup

Join us on social media for a #FightTheCut rally Sept. 1. In the meantime, here are six ways to better understand what we're fighting.

Let's #FightTheCut: Join Our Sept. 1 Virtual Rally

Aug 20, 2021 / News

Physical therapy is once again facing payment cuts under Medicare. We must fight — and we need your voice.

Position Paper: Medicare Fee Schedule

Aug 18, 2021 / Position Paper

The proposed 2022 Medicare Physician Fee Schedule rule includes deep cuts to critical services provided by dozens of health care providers, including PTs and PTAs.

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.

Three Ways To Stay on Top of Payment Cut, PTA Differential Advocacy

Aug 4, 2021 / Roundup

With the proposed rule open for comments and legislators back home, some of our best opportunities are right now.

APTA, AOTA, Other Groups Ask Congress for Intervention on PTA Differential

Aug 4, 2021 / News

A recent letter to House and Senate leaders says it's the wrong system at the wrong time.

APTA, Other Provider Groups, Urge Congress To Take Action on Payment Cuts

Aug 2, 2021 / News

A recent letter to House and Senate leaders is part of a larger advocacy push to avoid a potential crisis in patient access to care.

Proposed 2022 Fee Schedule: More Cuts, PTA Differential, Telehealth Obstacles

Jul 16, 2021 / Review

The proposal contains few surprises, setting the stage for intensified advocacy efforts directed at CMS and Capitol Hill.