A coalition led by APTA is calling on Congress to repeal the Multiple Procedure Payment Reduction (MPPR) policy as part of broader Medicare Physician Fee Schedule reform. In letters sent March 17 to key congressional committees, APTA and partner organizations emphasized that MPPR is an outdated policy that no longer reflects clinical realities and discourages coordinated, patient-centered care.
MPPR reduces payment when multiple therapy services are provided on the same day, applying a 50% cut to the practice expense portion of additional services—even when those services are distinct, medically necessary, or delivered by different disciplines. Because practice expenses make up a significant portion of reimbursement, this policy results in substantial payment reductions for therapy providers.
APTA and its partners warn that MPPR limits patient access to rehabilitation services and adds strain to therapy practices already facing ongoing Medicare payment challenges. Repealing MPPR is a key part of APTA’s broader advocacy efforts to improve payment and support sustainable, high-quality care.
