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PTA Differential Advocacy and Resources

Advocacy Updates

Critical Moment on Capitol Hill: Your Help Needed There are only a few weeks left for Congress to finalize an end-of-year omnibus bill that could address major issues including the Medicare Physician Fee Schedule cut and the PTA differential. Use APTA’s Patient Action Center

The 2023 Medicare Physician Fee Schedule final rule will implement a 4.5% cut to the conversion factor. Congress must prevent the entire 4.5% reduction to Medicare payment rates from being implemented on Jan. 1, 2023.

The SMART Act (H.R. 5536) would bring supervision requirements of physical therapist assistants under Medicare Part B in private therapist practices in line with state licensure laws, as well as all other settings where Medicare beneficiaries receive therapy services, and provide a temporary exemption to the 15% payment differential for rural and underserved areas.

Resources
  1. APTA and PPS finalized the provider PTA differential resources in the State Payer Advocacy Resource Center (SPARC) toolkit found on the PPS website. 
  2. The PTA template letters for providers and patients can be found here as well as on the SPARC site: PTA diff templates.
  3. APTA Regulatory Review: 2022
    This webinar will be held Dec. 14, 2022 at 1:00 pm ET. You need to be logged in before enrolling in the course.APTA staff will provide an overview of the most important regulatory updates in 2022. Topics include setting specific rules like home health, skilled nursing facilities, inpatient rehab facilities as well as the medicare physician fee schedule. Staff will also provide predictions on what issues are likely to be subject to regulatory action in 2023.