CMS wants to implement a flawed payment differential plan for PTAs without any attempt to mitigate the damage. We can't let that happen.
Beginning Jan. 1, 2022, payment for outpatient therapy services furnished by physical therapist assistants will be reimbursed at 85% of the Medicare Physician Fee Schedule. This cut, harmful by itself, is happening in addition to other proposed cuts to the fee schedule. Patients are at risk of losing access to therapy services, just as we fight our way back from a pandemic that has increased patient need for those services and challenged the financial stability of providers.
APTA is collecting your feedback to share with Congress. Please take a few minutes and share how the PTA Differential Impact will impact your practice and patients.
Why It Matters
PTAs play a crucial role in the PT-PTA team and help bridge the gap in access to care. The 2022 PTA payment differential ignores that reality. Instead, the differential makes it harder for this access to be provided and threatens physical therapy businesses, particularly in rural and underserved areas. Absent action by the Centers for Medicare & Medicaid Services or Congress, the PTA payment differential will increase the economic instability of providers who serve Medicare beneficiaries.
CMS and Congress must act to delay the payment differential so that providers and therapy businesses can continue to recover from the impact of the pandemic. In addition, CMS and Congress must act to ensure that patient access to care in rural and underserved areas is not impeded by the differential. Finally, CMS and Congress must act to reduce burdensome Medicare requirements such as the current direct supervision requirement for PTAs in private practice.
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Check out more info on the PTA Differential issue on the Fee Schedule page.
COVID-19 has increased staff dropout in areas of health professions that already had a high need. The differential will only make this problem worse and decrease the quality of services as older, more experienced PTAs leave or lose their jobs.
Amy Owens, PT
Aug 20, 2021 / Open Access
Jul 16, 2021 / Review
Aug 4, 2021 / News
Jul 28, 2021 / News
Additional Medicare Payment Differential on Services Provided by PTAs Content
Sep 3, 2021 / Article
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.
Aug 27, 2021 / Roundup
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Physical therapy is once again facing payment cuts under Medicare. We must fight — and we need your voice.
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Mar 8, 2021 / News
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Feb 10, 2020 / Perspective
It can be a challenge to keep up even if you’re working hard to pay attention.
Dec 3, 2019 / Perspective
It was not until I began working in outpatient care and seeing problems with payment, that I realized the importance of getting involved with advocacy.