The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that may increase burdens for PTs and PTAs and adversely impact payment rates. We need you to submit comments to CMS and let them know how this rule will impact you and your practice.
In the 2020 Physician Fee Schedule proposed rule, CMS puts forth its proposal for applying the 10% de minimis standard when a PTA furnishes outpatient physical therapy services (in whole or in part). The rule also would require outpatient therapy providers to explain why the new PTA/OTA modifiers (CQ/CO) are or are not applied to the claim. Additionally, CMS suggests reimbursement reductions for outpatient physical and occupational therapy providers beginning in 2021. Further, CMS proposes reimbursement values for new trigger point injection dry needling codes and seeks feedback on opportunities to expand bundling of services paid under the fee schedule. Learn more about the proposed rule here.
Please submit your comments to CMS as soon as possible so the agency has adequate time to review feedback. The deadline for comments is Friday, September 27, 2019.
Check out the resources below to help you submit your comments.
Thank you for taking the time to comment. CMS reads all comments when considering further action on this rule and we appreciate you raising your voice on this important issue.
P.S.: We’ll be back in touch with you with a new template letter responding to both the PTA modifier policy and proposed reimbursement reductions in 2021 on September 6.