Many APTA members report that medically necessary physical therapist services are delayed—greatly impacting patients’ clinical outcomes—because of the amount of time and resources they spend on documentation and administrative tasks.
In a recent APTA survey, nearly 75% of respondents indicated that prior authorization requirements delay access to medically necessary care. This means 25% more time could be devoted to the care of the patient rather than dealing with burdensome paperwork.
H.R. 3107, the Improving Seniors’ Timely Access to Care Act of 2019, aims to improve the current prior authorization system by requiring the Centers for Medicare & Medicaid Services (CMS) to streamline the way Medicare Advantage plans use prior authorization. This legislation would establish an electronic prior authorization process, increase transparency by requiring Medicare Advantage plans to report to CMS on prior authorization approval and denial rates, and request that plans adopt prior authorization programs that adhere to evidence-based medical guidelines in consultation with physicians.
Take 2 minutes and ask your representative to cosponsor H.R. 3107, the Improving Seniors’ Timely Access to Care Act of 2019. These 2 minutes may save you and your patients time, money, and negative clinical outcomes in the future.
Thank you for taking action.