Skip to main content

It's back: APTA's members-only multiple procedure payment reduction (MPPR) calculator for 2019 is now live.

This year's calculator incorporates both the MPPR 50% reduction as well as the overall 2% cut to Medicare payments implemented through sequestration. The calculator, delivered by way of an Excel spreadsheet, calculates Medicare physician fee schedule payment for procedures provided to a beneficiary on a given day.

Added features this year include options for selecting your Medicare participation status—participating, nonparticipating but accepting assignment, or nonparticipating and not accepting assignment—as well as the ability to compare the 2019 payment rate with the rate in 2018. The calculator also includes a Merit-based Incentive Payment System (MIPS) adjustment feature, which isn't applicable to physical therapists this year but will become a useful tool beginning in the 2021 payment year.


You Might Also Like...

Article

Cigna Implements Outpatient Hospital Physical Therapy Site-of-Care Review

Oct 14, 2025

Effective Oct. 1, Cigna Healthcare implemented a new site-of-care review process for outpatient hospital physical therapist services. The change is designed

News

APTA Advocacy Leads to Noridian Updated Guidance on Plan of Care Signature

Oct 14, 2025

On Sept. 10, the Medicare Administrative Contractor Noridian Healthcare Solutions amended its existing guidance on the regulations governing certification

News

FTC Drops Legal Appeals, Abandons Noncompete Rule

Oct 8, 2025

In August 2024, the United States District Court for the Northern District of Texas permanently barred the Federal Trade Commission's ban on employee noncompetes.