Changes to how Medicare pays for therapy services provided in a doctor's office are limiting patient access to such services and denying some providers a right to make a living, said a coalition of therapists and doctors' groups at a press briefing.
The Coalition to Preserve Patient Access to Physical Medicine and Rehabilitation Services, a coalition of 23 organizations, is pushing for Congress to revise a rule change the CMS implemented during the summer or write new legislation that would supplant the rule.
Under the change, which took effect in June, Medicare pays for therapy services provided in a doctor's office only if they are provided by a physical or occupational therapist or a speech and language pathologist.
Before the change, anyone who was a state-licensed healthcare worker, certified and qualified, could offer therapy under the supervision of a doctor in his or her office. CMS said the rule change was mandated by the Medicare Modernization Act of 2003.