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The 2023 fee schedule has pros and cons for physical therapy.

The Issue

The 2023 Medicare Physician Fee Schedule rule once again includes a significant payment reduction to a number of providers, including to outpatient physical therapy services. However, in welcome news for PTA supervision, CMS opens the door to potentially making direct supervision through virtual presence permanent. Finally, CMS calls for comments on potentially underutilized services that prevent downstream spending and improve patient outcomes – an excellent opportunity for PTs and PTAs to demonstrate their value.

Watch APTA's video summarizing the 2023 Physician Fee Schedule Proposed Rule and learn how you can use APTA's advocacy tools to make your voice heard.

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Why It Matters

These cuts never made sense. During a pandemic, they're even more devastating. However, allowing PTAs to be supervised virtually will greatly increase their ability to access and treat patients. Similarly, CMS' ask for information on valuable preventive services means they are looking to reduce barriers and increase utilization of these types of care. 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.

Our Position

APTA strenuously opposes any attempt to reduce payment for physical therapy under Medicare, and will advocate to both CMS and Congress for temporary and permanent solutions to fee schedule cuts.

Further, while APTA will continue to advocate for supervision of PTAs to be changed to general supervision, permanent adoption of direct supervision through virtual presence would be a welcome step in the right direction.

APTA welcomes CMS' desire to improve access to services that prevent avoidable costs and complications and will advocate that physical therapy is perfectly situated to do just that.

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. 


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Additional Medicare Physician Fee Schedule Advocacy Content

APTA Advocacy Roundup: What's Been Passed by Congress, What's Still on the Table

Sep 20, 2022 / Roundup

Here's the status of APTA-supported legislation on the fee schedule, telehealth, prior authorization, the PTA differential, and more.

Potential Fee Schedule Reprieve Introduced in U.S. House

Sep 14, 2022 / News

A bipartisan bill would provide money to offset anticipated 2023 Medicare Physician Fee Schedule payment cuts.

Advocacy in Action: Fee Schedule Comment Letters from APTA Members, Part 3

Sep 2, 2022 / Perspective

We're sharing real-world examples of what makes for a great comment letter. This installment: an experienced PT's perspective.

The Proposed 2023 Fee Schedule: 4 Things to Know

Aug 3, 2022 / Roundup

Of course the proposed cuts are at the center — but there are some significant opportunities for change and making your voice heard.

APTA, Other Groups, Urge Short- and Long-Term Fixes to 'Broken' Fee Schedule

Aug 2, 2022 / News

A joint letter to Congress pushes for immediate relief from the harms of the proposed 2023 fee schedule and calls for systemic changes.

7 Conversations to Have With Your Legislators While They're Back Home in August

Aug 1, 2022 / Roundup

District offices, town halls, maybe a visit to your clinic? Here are some topics worth mentioning.

No Vacation from Advocacy: Fee Schedule, Home Health, and Two Wins

Jul 22, 2022 /

APTA staff experts provide insight on what's happening, and what's to come.

Payment and Regulatory Update: July 20, 2022

Jul 20, 2022 / Members Only

Topics discussed: PHE update, Medicare Physician Fee Schedule, Home Health Rule, Commercial Payer Update.

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.