Tell CMS What You Think of an 8% Cut for Therapy Reimbursements

Under the 2020 Medicare Physician Fee Schedule Proposed Rule, therapy could see an 8% cut in Medicare reimbursements. Here’s what to do about it.

Under the 2020 Medicare Physician Fee Schedule Proposed Rule, therapy services could see an 8% cut in reimbursements. The cuts would be a direct result of an effort obtain budget neutrality, which would be impacted by the rule’s proposed increases to Evaluation and Management payments in 2021, as an increase in one code set throws off the balance for all others, and, thus, cuts would need to be made.

Because therapy professionals typically do not or cannot bill for Evaluation and Management services, the profession, as a whole, could certainly be negatively affected by the change and the 8% decrease in reimbursements, if the rule passes.

Centers for Medicare and Medicaid Services (CMS) is accepting comments on the proposed rule through September 27, 2019. To make your concerns heard, we encourage you to contact CMS directly by submitting a form here.

Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

3 Common Rehab Therapy Credentialing Mistakes

If your clinic and therapists aren’t properly credentialed with insurance providers, your bottom line could very well suffer.

from WebPT

Proper credentialing is a crucial step in running a successful physical therapy clinic. If your clinic and therapists aren’t properly credentialed with insurance providers from the get-go, your bottom line might suffer. And it’s not just new clinics that are susceptible to making credentialing mistakes; in fact, any clinic that has gone through a change in ownership, rapid growth phase, or any other transition might find itself mired in credentialing headaches.

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Disclaimer: The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.