APTA supports excluding physical therapy services from the in-office ancillary services exception (IOAS) under the physician self-referral prohibition (commonly referred to as the Stark law). The expansive use of the IOAS exception by physicians in a manner not originally contemplated by the law undercuts the purpose of the law and substantially increases costs to the Medicare program and its beneficiaries.
Representative Jackie Speier (D-CA) introduced the Promoting Integrity in Medicare Act (H.R. 2914) on August 1, 2013. H.R. 2914 closes the IOAS exception under Medicare for physical therapy, advanced imaging, radiation oncology, and anatomic pathology. H.R. 2917 will help decrease inappropriate utilization and overall Medicare costs, while helping to build a bridge to new payment systems currently being discussed in Congress.
APTA believes that this issue should be addressed as part of any fundamental delivery system reform and that it could provide cost savings to help support reform. APTA's foremost goal is to see patients continue to receive the highest quality, most appropriate care while protecting limited Medicare resources. Closing the self-referral loophole will ensure that both goals are met without hurting true interdisciplinary collaboration.
July 19, 2013
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June 2, 2014
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