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Medicare Physical Therapy Cap Detrimental to Care

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 to double in the coming years. The Medicare cap will severely limit a patient's ability to receive proper therapy following surgery unless Congress acts.

Moore called on Congress to renew exceptions to the cap and to devise a plan to deal with the yearly threat of expiring exceptions.

If cap exceptions are not renewed before they expire at the end of the year, physical therapy billing and payments would be severely affected.

You can read Moore's statement to Congress on Expiring Medicare Provider Payment Policies.

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