Changes to the 2023 Medicare Physician Fee Schedule made by U.S. Centers for Medicare & Medicaid Services will directly affect the calculations used to determine payment. To help you navigate the new landscape, APTA has updated one of its most popular resources — the outpatient therapy fee schedule calculator.
This tool helps participating and nonparticipating PTs determine 2023 Medicare payment and compare rates with the previous year. Presented as spreadsheet, the calculator incorporates the new conversion factor values, the 50% multiple procedure payment reduction, sequestration-related adjustments, and Merit-based Incentive Payment System factors.
Getting Up to Speed on the 2023 Fee Schedule
The revised calculator is just one indication that, for better or worse, the dust is settling around the 2023 physician fee schedule, which was finalized in November and partially adjusted by Congress in late December.
Need to catch up? Here are a few APTA resources that can help.
Final 2023 Fee Schedule: What You Need to Know
Part 1: Payment — cuts, therapy thresholds, updated calculations, and more
Part 2: Remote monitoring, supervision, telehealth skin substitutes, chronic pain management
Part 3: MIPS, quality measures, MIPS Value Pathways, and more
Adjustments to the Fee Schedule Made by Congress
Our Dec. 20, 2022, article summarizes the ways the fee schedule and other issues were affected by the omnibus spending package approved by Congress and signed into law on Dec. 29.
APTA Statement on the Need to Reform the Fee Schedule
APTA President Roger Herr, PT, MPA, describes how continued payment reductions in the fee schedule — and Congress' insufficient response in 2022 — point to the need for an overhaul of the entire system.