If CMS really wants to put “patients over paperwork” in physical therapy, it could start by allowing PTAs to provide maintenance care across settings and easing PTA supervision requirements. And while it’s at it, the agency could abandon outmoded approval requirements for plans of care, increase direct access to PTs, and expand PTs’ ability to bill for care provided by a qualified substitute when the primary PT is unavailable. Those are just a few of the options that APTA and two of its components put on the table in recent comment letters.
Ask and CMS shall receive
The most recent comment letters — from APTA, the APTA Academy of Geriatric Physical Therapy, and the association’s Home Health Section — were produced in response to a call from CMS to provide recommendations about eliminating Medicare regulations that require more stringent supervision than is required in existing state scope of practice laws, or that limit health professionals from practicing at the top of their license. CMS also asked for input on ways to strengthen its “patients over paperwork” initiative intended to ease administrative burden on health care providers as it relates to the specific areas in regulation that restrict providers from practicing to the full extent of their education and training.