For physical and occupational therapists who provide comprehensive rehabilitative services – including those treating patients with multiple therapy procedures on the same day – Medicare’s Multiple Procedure Payment Reduction (MPPR) policy is discouraging therapy providers and upending patient access to care. 

MPPR fails to reflect how therapy services are delivered today, particularly for patients who rely on consolidated, multi-procedural care in a single visit to maximize recovery and minimize transportation challenges. Current policies under the Medicare Physician Fee Schedule (MPFS) have penalized this efficiency by cutting reimbursement for multiple therapeutic service CPT codes by 50% after a single initial service bill. This payment reduction ignores rising practice expenses, forcing providers to absorb unsustainable costs or limit the services they offer.

This is why APTQI is calling on Congress to pass the Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386), which would eliminate MPRR billing policies from the MPFS to ensure adequate reimbursement for multidisciplinary, comprehensive rehabilitative services by therapy providers. 

Please send a letter to your representative in the U.S. House to ensure patients have access to the comprehensive rehabilitation services they need.