CMS wants to impose further payment cuts and roll out a flawed payment differential plan for PTAs. We can't let that happen.
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.
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.
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.
Dec 2, 2021 / Position Paper
Nov 3, 2021 / Review
Aug 20, 2021 / Open Access
Aug 24, 2020 / Open Access
Additional Medicare Physician Fee Schedule Advocacy Content
Mar 11, 2022 / News
The $1.5 trillion plan passed with bipartisan support. Here are three takeaways of interest to the physical therapy community.
Mar 9, 2022 / News
A recent letter to committee leadership says that it's time for systemic change to the PFS and Quality Payment Program, which includes MIPS.
Mar 8, 2022 / News
Remember that old saying, "strike while the iron is hot"? Things are hot on Capitol Hill (and there's still time to act).
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.
Dec 10, 2021 / News
The package, which combines additional funding and delays to planned cuts, will be signed into law before year's end.
Dec 8, 2021 / News
The APTA-supported package readied for the Senate includes an offset to the payment cuts and delays in other reductions.
Dec 1, 2021 / Members Only
Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates
Nov 29, 2021 / News
Lawmakers are back. A bill has been introduced that could offset the cuts. It's time to make this happen.
Nov 22, 2021 / News
Bipartisan legislation is now in the U.S. House. Use APTA's Action Centers to tell Congress to act.
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.