APTA strongly supports legislation that would reduce administrative burden on physical therapists by modernizing the process for prior authorizations in Medicare.
The Improving Seniors' Timely Access to Care Act of 2019 (H.R. 3107) was introduced in the US House of Representatives by representatives Susan Delbene (D-WA), Ami Bera (D-IL), Mike Kelly (R-PA), and Roger Marshall (R-KS). This legislation:
The increase in prior authorizations for medically necessary physical therapy services is increasing delay and impacting patients' clinical outcomes. The volume of prior authorizations and increase overall documentation has led to PTs experiencing administrative burden. This results in less time in the clinic and less patients receiving care. The need to modernize and improve transparency for prior authorizations is essential to improving care for Medicare Advantage patients.
Administrative Burden Infographic (.pdf)
H.R. 3107 Improving Seniors’ Access to Care Act of 2019