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TAKE ACTION: Planned Medicare Cuts 2021

As we mentioned in a previous email, the current CMS proposed rule has a 9% reduction for physical therapy and occupational therapy payments and an 8% proposed cut to speech therapy payments. 

Over the last six months, you have cared for your patients at unprecedented levels while also fighting to keep your businesses intact. Now is absolutely not the time for CMS to cut reimbursement levels especially as we are entering another phase of the pandemic. 

It is up to us to be as vocal as possible and tell our Members of Congress why this rule shouldn't take effect! 

You don't need to be an APTA member to use this link to send a message to your Congressperson. It will take you less than 5 minutes but can have a huge impact on your bottom line come January 2021.

All comments are due by October 5th. Please encourage your colleagues, friends and family to weigh in on this issue as well. 

UPDATES: NCCI Edit

In a reversal of course, CMS has announced that effective October 1, 2020, it will reinstate the previously deleted coding edits for code pairs including: 

97530 with 97116

97530 with 97164

97161 with 97140

97162 with 97140

97163 with 97140

99281-99285 with 97161-97168

97110 with 97164

97112 with 97164

97113 with 97164

97116 with 97164

97140 with 97164

97150 with 97110

97150 with 97112

97150 with 97116

97150 with 97164 

This is extremely unfortunate given CMS had just agreed to remove the edits in April. The full list of edits can be found on CMS NCCI Edits page.