The MPPR policy implements a 50% payment reduction to the practice expense value of certain CPT codes deemed "always therapy services."
The multiple procedure payment reduction policy implements a 50% payment reduction to the practice expense value of certain CPT codes deemed "always therapy services." The reduction is applicable to physicians and physical therapists in private practice, CORFs, SNFs (Part B), home health (Part B), outpatient hospitals, and rehabilitation agencies. For the second and each subsequent code, the practice expense value will be reduced.
Because clinicians who deliver therapy services typically deliver a variety of services as represented by the CPT codes, there are numerous potential code combinations that, when executed, determine the total reimbursement for services in a given day.
Nov 19, 2019 / Review
Jan 7, 2021 / Members Only
Mar 19, 2021 / Resource
Additional Multiple Procedure Payment Reduction and the Physician Fee Schedule Content
Mar 8, 2021 / News
Consistent with an APTA report, the study says fee schedule payment for physical therapy dropped by 34% during the pandemic's first wave.
Mar 8, 2021 / News
Expanded CMS resources include more examples. APTA revised its guide and offers additional insight.
Jan 29, 2021 / Perspective
PTs are facing Medicare payment cuts. But what does that really mean?
Jan 11, 2021 / News
APTA's members-only tool can help you manage a potentially challenging payment year.
Jan 6, 2021 / News
The new conversion factor released by CMS helps to offset the impact of fee schedule reductions for PT providers.
Dec 22, 2020 / News
A COVID relief bill came up short, leaving the profession and other provider groups facing less severe but still "unsustainable" reductions.
Dec 8, 2020 / Review
Like the proposed version, the final rule from CMS keeps the Quality Payment Program mostly as-is.
Dec 2, 2020 / Review
The final rule highlights the need for legislative action to give CMS more latitude in budgets and telehealth.
Nov 17, 2020 / Roundup
APTA's fee schedule calculator is the right resource at the right time. Here are six reasons why it's worth checking out.
Aug 20, 2020 / Resource
This recording covers CY 2021 Medicare Physician Fee Schedule proposed rule.