Urgent Action Needed to Prevent Medicare Cuts to Physical Therapy Your voice is needed to stop Medicare cuts before the end of the year. The final 2024 Medicare Physician Fee Schedule rule recently released by the U.S. Centers for Medicare & Medicaid Services contains a 3.4% reduction to the conversion factor that will result in payment cuts to dozens of providers in 2024, including physical therapists. As it has for the past three years, Congress must once again intervene before the end of the year and provide additional funding to the 2024 fee schedule to mitigate the proposed cuts to providers. With dwindling legislative days, we need your action as soon as possible. Please take two minutes and send an email to your members of Congress urging them to stop the proposed 2024 cuts to the Medicare fee schedule. https://lnkd.in/exYyGKee Telfonix Medical Billing www.Telfonix.com
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Important updates below!
Medicare Part B wins for rehab therapy in the CY25 Physician Fee Schedule Proposed Rule! CMS proposes: 1. private practice supervisory change from direct to general 2. reducing burden on the certification of the Plan of Care 3. increasing the practice expense of 16 therapy codes that are subject to MPPR ADVION will be advocating for finalization of these policies! With a 2.8% reduction for CPT codes from CMS, these wins are important for the therapy sector and most importantly for the patients we serve! Want more? ADVION will host a webinar on July 24th to brief members on these proposals. Email Jenn@ADVIONadvocates.org to register!
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📑 Updated Medicare Fee Schedule: Advances and Setbacks The 2025 Medicare Physician Fee Schedule (MPFS) proposes a complex mix of changes, including significant cuts and promising additions. With new CAR T-cell therapy coverage and increased rates for crucial lab work, we encourage you to stay informed and take action before the 2025 MPFS comment period ends on September 9, 2024. In our latest blog from Laboratory Economics, find out what these changes mean for your practice and how they will impact patient care. 🔗 https://hubs.li/Q02NF0sX0 #Medicare2025 #HealthcarePolicy #MedicareUpdate #Pathology #MedicareBilling #MPFS
Proposed Medicare Physician Fee Schedule Contains a Mix of Good and Bad | XiFin, Inc.
xifin.com
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Physical Therapist Assistant at Peak Physical Therapy | Experienced Director of Rehabilitation | Expert in Insurance VOB & Authorizations | Patient Advocate l Certified Fall Prevention Specialist
The American Physical Therapy Association (APTA) is calling for comments on the 2025 Medicare Physician Fee Schedule Proposed Rule. CMS has proposed a 2.8% cut to the conversion factor, impacting nearly all clinical specialties, including physical therapists. However, there are two significant proposals that could benefit our field: General Supervision of PTAs: CMS is proposing to change the supervision requirement from direct to general supervision for PTAs in private practice, aligning with state-established levels and increasing patient access to therapy services. Plan of Care Signature Exception: CMS is proposing an exception to the requirement for PTs to obtain a physician’s signature on the plan of care within 30 days. A dated order or referral would suffice, reducing administrative burdens. 📝 Submit your comments by September 9th to support these proposals and help shape the future of our profession. Use APTA’s Regulatory Comment Tool to draft your letter: https://lnkd.in/gUhsep8N Let’s make our voices heard! 💪
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Call to Action - Time is of the essence to contact your representative and senators about the Medicare cuts that went into effect on Jan. 1. Congress is drafting legislation that will fund the government for the rest of the 2024 fiscal year. Let Congress know the March spending bill must include H.R. 6683, which would provide additional funding to health care providers to offset the Medicare cuts. Even if you sent a letter before, please send another one or call your representative and senators using the below phone script. It only takes a few minutes to send a letter or call, and your voice does make an impact. We cannot let up our pressure on Congress. There is too much at stake to not raise your voice. APTA: https://lnkd.in/gGikpM7c ASHA: https://lnkd.in/gMk3JQpV
APTA Patient Action Center
apta.org
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In 2023, the Alliance of Wound Care Stakeholders addressed coding, coverage, and payment with the submission of 26 comments on policies spanning the Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (PPS), Hospital Inpatient PPS & Home Health PPS. We tackled policy issues related to CTPs, surgical dressings, topical oxygen, NPWT, compression, and more. We provided recommendations on CMS’ prior authorization processes and proposed coverage of emerging technologies pathway, provided perspective to FDA’s guidance on decentralized clinical trials and reached out to Congress to urge attention to Medicare payment reforms and mitigation of physician payment cuts. Further, we co-authored a new economic impact study (Journal of Medical Economics, July 2023) demonstrating the changing landscape of chronic wound care, costs, and shifts where wound patients are receiving care. Whew! Catch up on the breadth and scope of our wound care advocacy in our 2023 annual report. https://lnkd.in/ebhbcDsb #membershipmatters #healthcareadvocacy #woundcare #chronicwounds #patientcenteredcare #HOPPS #PFS #priorauthorization #healtheconomics
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Founder - Total Control Health Plans, Author - "Not Rocket Surgery, An Employer's Guide to Controlling the Health Care Supply Chain
Prior authorizations can be a very important tool as a check and balance to ensure that a patient is getting the most appropriate care at any particular time, but it can also be incredibly bureaucratic and burdensome for providers and patients. This adds administrative costs and potentially delays key treatments. There is no doubt the prior authorization process needs to evolve, and eliminating the process for primary care providers is a very logical step. Where do you believe the sweet spot is for maximizing the benefits of prior authorization while minimizing the added burden and costs?
BCBS Rhode Island dropping 65% of prior authorization requirements for PCPs
beckerspayer.com
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Thanks to DJ Fen Ying FM97.2. 28th December- - 11am -1140am for the opportunity to educate the public about the 1)Role of family physicians. 2)The comprehensive training that family physicians get 3) public misconception about what GPs/FPs can offer 4) Why you should see your GP/FP before self referring to hospital 5) Why GP/FP consults are "expensive" compared to polyclinic 6) Role of Primary care networks- United PCN we have a roaming DRP service! #Familymedicine #primarycare
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Tell Congress to Fix Medicare Now! A message from the American Medical Association As Congress returns home for the annual August recess, physician advocates have unique opportunities to engage with their members of Congress "back home" in the district. Find out how you can take advantage of the August recess and tell Congress to Fix Medicare Now! This summer the American Medical Association's top federal priority remains reforming Medicare's broken physician payment system, and we need your help! Learn more and take action! https://lnkd.in/ecryWFTy #physicians #fixmedicarenow #medicare #congress
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Corazon Featured Article 📰 Senior Vice President, Kristin Truesdell recently had her "The Feasibility of the Hybrid OBL/ASC Model for Cardiovascular Procedures: Does it Work for You?," article featured in Cath Lab Digest! The cardiovascular field is experiencing a shift towards outpatient care, which is being incentivized by multiple key stakeholders. Once these procedures are performed in the OBL and/or ASC, it is unlikely that they will be moved back to the acute care setting. Read the article below to learn about this transformation in healthcare. ⬇ 🌐 Get in touch with us now to learn more about how Corazon can help with your ASC Strategy! https://lnkd.in/esRWBgAm #ASCs #OBL #CardiovascularCare #Outpatient #Corazon
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Explore the mixed messages in the 2025 Medicare physician fee schedule and Quality Payment Program proposed rule and learn what it means for family physicians with the article below. Learn more here: https://bit.ly/3A8OUDD
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