- Joined
- Jun 19, 2008
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In an effort to spread all that "hope and change" the current administration promised, it was announced that we are in for some reimbursement cuts. 
http://www.aota.org/News/AdvocacyNews/2011-proposed-fee-schedule-rule-cuts.aspx
In addition to the projected 21.3% reduction in the fee schedule due to the Sustainable Growth Rate (SGR) formula used by CMS (which is currently delayed until November 30, 2010, with a longer or permanent fix ostensibly in the works), CMS has proposed fee schedule reductions of approximately 13% for outpatient therapy services via its multiple procedure payment reduction policy (MPPR).
The MPPR proposes to make full Medicare payment for the therapy service/unit with the highest practice expense (PE) value and then apply a 50% payment reduction to the PE component of all subsequent therapy services/units furnished to a patient on the same day. Deeply concerning is the fact that the proposal does not differentiate between occupational, physical, and speech-language therapy: only the single most expensive therapy service would be paid in full and all other types of medically necessary therapy services would receive a 50% reduction, even on days where a patient receives both OT and PT (for example).
We haven't seen any real increase in reimbursement in over a decade. Now we are going to get cuts.
Do keep this in mind when you decide what you want to do with your careers. And when you vote next year. Thanks.
Glad they made OT a mandatory Masters, so we 'raise' the bar, unless it's payday - then we get the SHAFT 😡

http://www.aota.org/News/AdvocacyNews/2011-proposed-fee-schedule-rule-cuts.aspx
In addition to the projected 21.3% reduction in the fee schedule due to the Sustainable Growth Rate (SGR) formula used by CMS (which is currently delayed until November 30, 2010, with a longer or permanent fix ostensibly in the works), CMS has proposed fee schedule reductions of approximately 13% for outpatient therapy services via its multiple procedure payment reduction policy (MPPR).
The MPPR proposes to make full Medicare payment for the therapy service/unit with the highest practice expense (PE) value and then apply a 50% payment reduction to the PE component of all subsequent therapy services/units furnished to a patient on the same day. Deeply concerning is the fact that the proposal does not differentiate between occupational, physical, and speech-language therapy: only the single most expensive therapy service would be paid in full and all other types of medically necessary therapy services would receive a 50% reduction, even on days where a patient receives both OT and PT (for example).
We haven't seen any real increase in reimbursement in over a decade. Now we are going to get cuts.
Do keep this in mind when you decide what you want to do with your careers. And when you vote next year. Thanks.
Glad they made OT a mandatory Masters, so we 'raise' the bar, unless it's payday - then we get the SHAFT 😡