APTA urges payments that accurately reflect the resources needed to provide services including wound care.
In comments to the Centers for Medicare and Medicaid Services (CMS) on the 2011 final fee schedule rule, APTA strongly recommends that the agency reconsider its rejection of the Health Care Professionals Advisory Committee's (HCPAC) recommended work value for wound care codes. "Over the past few years, the HCPAC has been very thorough in its review of new, revised, and potentially misvalued codes… APTA is particularly concerned about that fact that CMS has historically accepted a higher percentage of the RUC recommendations than the HCPAC recommendations." Noting its strong objection to the multiple procedure payment reduction (MPPR) policy in the proposed rule, APTA also urges CMS to place a high priority on the development of an alternative payment system to ensure patients receive medically necessary therapy services and therapists are paid an amount that accurately reflects the resources needed to provide the services. "Such a system would be far more equitable than the MPPR policy," APTA said, offering to work with CMS in the near future to further develop alternatives.