The APTA has issued five guidelines that therapy practitioners should be aware of now that the cap has been eliminated. Below are the guidelines, but you can see the entire post on the APTA PT in Motion blog. The elimination of the hard cap is retroactive to January 1, 2018, but not all details of the post-cap system have been worked out, and it's possible that some may change before their implementation dates. In the meantime, here are the basic elements of the new system.
On February 9th, the United States Congress fully repealed the Medicare Cap. In a post on their website, the APTA fully explains what this means. In the post titled “A Permanent Fix to the Therapy Cap: Improved Access for Medicare Patients Comes With Pending APTA-Opposed Cut to PTA Payment” they explain that the “looming threat of a hard cap on physical therapy services under Medicare has been eliminated. As part of a sprawling bipartisan budget deal passed today, Congress en
On September 21, 2011, Justin Moore, APTA vice president, Government and Payment Advocacy testified before Congress on the effect that the Medicare cap for physical, occupational and speech therapy services has on patients and providers. Moore was joined by witnesses from the American Hospital Association, American Ambulance Association, and American Medical Association. Because the baby boomer generation is getting older, the demand for knee and hip replacements is expected