Changes to the 2024 Medicare Physician Fee Schedule made by the U.S. Centers for Medicare & Medicaid Services directly affect the calculations used to determine payment. To help you navigate the new landscape, APTA has updated one of its most popular resources — the outpatient therapy fee schedule calculator.
This tool helps participating and nonparticipating PTs determine 2024 Medicare payment and compare rates with the previous year. Presented as a spreadsheet, the calculator incorporates the new conversion factor, the multiple procedure payment reduction, sequestration-related adjustments, and Merit-based Incentive Payment System factors. This version of the calculator also incorporates the policy for geographic practice cost index, or GPCI, work values, which Congress extended until at least March 8.
Note: The state of the Medicare Physician Fee Schedule may be in flux. There's a possibility that Congress could adopt a spending package that would affect payment — specifically, through funding to offset a 3.4% cut to the conversion factor and/or extension of the GPCI policy. The next opportunity for change comes as Congress decides how it will deal with a March 8 deadline of a recently passed continuing resolution on spending. Should any changes be made that affect elements of the calculator, APTA will republish the tool and announce its availability.