Skip to main content

CMS wants to implement a flawed payment differential plan for PTAs without any attempt to mitigate the damage. We can't let that happen.

The Issue

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.

Please Provide Your Feedback Today

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.

Our Position

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.

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 the Fee Schedule page

Amy Owens, APTA Member

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

Recommended Content

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

Aug 20, 2021 / Open Access

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

Jul 16, 2021 / Review

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

Aug 4, 2021 / News

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

Jul 28, 2021 / News

Additional Medicare Payment Differential on Services Provided by PTAs Content

Advocacy Update: Fight the Cut

Sep 3, 2021 / Article

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.

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.

The PTA Differential Just Doesn't Add Up — Especially for Patients

Jul 30, 2021 / Perspective

he fact is, the work of our PTAs is crucial to many practices' ability to weather the mounting challenges we face.

The 2022 Fee Schedule: Get Ready To Take Action

Jul 7, 2021 / News

CMS is due to release its proposal soon. Here's what you need to know — and how you can fight for physical therapy.

CMS Sheds More Light on the PTA Modifier; APTA Updates Its Quick Guide

Mar 8, 2021 / News

Expanded CMS resources include more examples. APTA revised its guide and offers additional insight.

The PTA Differential: How We Got Here, and What's Next

Feb 10, 2020 / Perspective

It can be a challenge to keep up even if you’re working hard to pay attention.

On the PTA Payment Battleground, We Are All APTA

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.