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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

Spending Package: A Win for Telehealth, No Movement on PTA Differential

Mar 11, 2022 / News

The $1.5 trillion plan passed with bipartisan support. Here are three takeaways of interest to the physical therapy community.

APTA, 95 Other Organizations to Congress: The Fee Schedule Just Isn't Working

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.

APTA, Lawmakers Press for Payment Relief by March 11 Deadline

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).

Position Paper: PTA Differential

Aug 13, 2021 / Position Paper

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

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

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.

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.