It is the position of the Physical Therapy Business Alliance (PTBA) that reliance on current rules and regulations in combination with formulas and methodologies used by Centers for Medicare and Medicaid Services (CMS) are inadequate for reimbursement of services provided by physical therapists.
Physical Therapy, like many other essential providers within the emerging health care paradigm, such as family practice physicians, general internists, and general pediatricians, strongly advocates that current rules and regulations as well as formulas and methodologies used by CMS are no longer reflective of the breadth and depth of the services provided by physical therapists. Additionally, the regulatory environment is stifling innovation and progress in care delivery increasing costs and decreasing access to needed services. Ironically, the regulations largely intended to reduce fraud and related costs has only served to further increase the gap between level of service provided and the remuneration for that service. The inherent and well-documented flaws in the Resource Based Relative Value Unit (FBRVU) system markedly undervalue physical therapy while the regulatory environment limits the potential value created by physical therapists Also of significant concern is that such a flawed system is
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