Action Plan: CMS Proposes 8% Cut in Medicare Reimbursement for Physical Therapy


CMS has revealed a plan to make significant cuts to Medicare reimbursement for PTs on the physician schedule for 2021.

This will be the fourth proposed cut to PT and conservative care in the past 24 months and many practices are struggling financially with a national average profit margin of 4%.

There are practices that will be forced to close their doors if this fourth cut passes like the three before it. And in addition to hurting our industry, this will lead to a significant decrease in access to care.

What Happens Next:

The deadline for comments is September 27th at 5pm Eastern time. The final rule is scheduled to be issued by the first of November.

What You Can Do:

Submit your comments to CMS before the deadline. Review the video above to see what we’ve prepared at Madden PT and how you can respond before the deadline.

All links mentioned in the video are in the downloadable cheat sheet below.

Cheat Sheet:

Proposed Physician Fee Schedule:
https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-16041.pdf
(This includes how to submit comments.)

To comment electronically:
https://www.regulations.gov/document?D=CMS-2019-0111-0092

Where’s the Medicare Money Go?
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareFeeforSvcPartsAB/MedicareUtilizationforPartB.html

State of US GDP to Healthcare:
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/highlights.pdf

Visual: Where Does the US Healthcare Money Go?
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/PieChartSourcesExpenditures.pdf

My Letter:
https://docs.google.com/document/d/111o9xaM79WM-faKeyPFVSWSJhE_PiJmOtUBMFo1Abpc/edit

Download a PDF version of the cheat sheet here.

Popular posts