Last week, the House passed the Improving Seniors’ Timely Access to Care Act (S.3018/H.R.3173) which seeks to improve transparency and accountability for Medicare Advantage (MA) plans as they use prior authorization.The bill will require MA plans to establish an electronic...

Current Medicare rules require direct supervision in outpatient clinical settings—this requires the supervising therapist to be in the same physical location as the therapist assistant. However, for the duration of the COVID-19 Public Health Emergency (PHE), CMS...

Previous advocacy efforts resulted in a geographically-limited law which only allows physical therapists in private practice who have clinics located in designated Health Professional Shortage Areas, medically underserved, and rural areas to retain a locum tenens to...

Now that the PTA/OTA differential has gone into effect, we must keep up the pressure on lawmakers to pass H.R.5536 in order to suspend the PTA/OTA differential for the rest of the year and exempt those in rural and medically underserved areas. The...

As we alerted you previously, the PTA/OTA differential has gone into effect, and we must keep up the pressure on lawmakers to pass HR5536 in order to suspend the PTA/OTA differential for the rest of the year and exempt those in rural and medically underserved areas...

Now that the PTA differential has gone into effect, rehabilitation therapy stakeholders are keeping up the pressure on lawmakers to pass HR5536 in order to suspend the PTA/OTA differential for the rest of the year and exempt those in rural and medically underserved areas...

Thanks to everyone’s efforts in contacting their legislators. On December 7, the House passed S 610 - an end-of-year package that provides significant relief to the impending Medicare cuts. It is now up to the Senate to pass S 610 so it can become law.The intent...

The Supporting Medicare Providers Act (H.R.6020) is a new bill in the House of Representatives. This bipartisan bill seeks to extend additional funding to the Medicare Physician Fee Schedule (MPFS) for another year in order to avert the 3.75% conversion factor cut that is...

As we alerted you previously, CMS is proposing to cut the fee schedule in 2022 for physical, occupational and speech therapy payment by 3.5%. We are also facing a 15% cut for PTA and OTA services, and an additional 2% sequestration cut (which has been postponed since 2013)...