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Medicare reimbursement

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Like its billing guidelines, Medicare’s reimbursement rates are updated each year in the annual final rule release. In 2018, for example, Medicare announced a reimbursement reduction for services provided in part or in full by PTAs or OTAs beginning in 2022. 

All in all, Medicare’s reimbursement rates tend to be a little lower than your average local payer. According to a survey conducted by the Medical Group Management Association, “more than two-thirds (67%) of medical practices report that 2019 Medicare payments will not cover the cost of delivering care to beneficiaries.”