At the end of each year, Congress typically passes a large legislative package.  We need to ensure legislation is included in this package that will address both the overall Medicare cuts and the 15% cut to services furnished by physical therapist assistants (PTAs) and occupational therapy assistants (OTAs).  Advion needs our advocates to ask their Members of Congress to include both the Supporting Medicare Providers Act (H.R. 8800) and the Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act (H.R. 5536) in any legislative package moving before the end of the year.


Email your member of Congress to Ensure Medicare Legislation is passed by the end of the year.




Therapy Collaboration in SNFs:
A Certificate of Skills in Medicare, MDS, and PDPM for Therapy Professionals


for more information or to sign up.        




A message from U.S. Senator Ron Wyden,
Chairman of the Senate Finance Committee and

Winner of NASL's 2021 Congressional Leadership Award






Quad A (formerly the American Association for Accreditation of Ambulatory Surgery Facilities) is offering a 10% discount on the AAAASF annual fee for Advion Members.  Proof of active Avion membership or payment of membership dues must be provided with your payment to AAAASF to receive the discount; please contact Advion if you need assistance.  Email Michael Barnett with any questions.




NASL becomes ADVION in ‘inspired’ move; home health, outpatient services gain focus

Jim Berklan, McKnight's Long-Term Care News, October 10, 2022.








Register now for our upcoming webinars:


Advion:  The Future of NASL

Monday, November 21st, at 3pm EST

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The 2023 Physician Fee Schedule Final Rule & Year-End Report

Wednesday, December 7th, at 3pm EST

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Advion 2023 Legislative & Regulatory Conference
March 6-8, 2023
Washington, DC



Advion 34th Annual Meeting
October 1-3, 2023
Denver, Colorado




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CMS issued the CY 2023 Medicare Physician Fee Schedule (PFS) Final Rule, which will take effect on January 1, 2023.  Read Advion’s Immediate Summary HERE.  (11/1/22)


“Congress’ strike at Medicare Advantage – the Improving Seniors’ Timely Access to Care Act of 2022 – has significant traction with 327 House sponsors currently,” says Advion’s Cynthia Morton.  Nursing Home Workforce, Medicare Advantage, Therapy Pay in Focus on Capitol Hill, by Amy Stulick for Skilled Nursing News, October 11, 2022.


A new independent study on the SMART Act (H.R. 5536) identifies potential Medicare cost savings by changing the supervision requirement for the Part B outpatient setting and underscores the critical role of physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) in rural and medically underserved areas. Read our joint press release and the report.

Though 4% is not draconian, in the context of what has been an annual decrease and will continue to be because of some of the code changes that will be coming into play in a year or two, there’s just no relief on the horizon,” Mark Besch, NASL Medical Services Committee Chair, Aegis Therapies.  CMS Proposes Further Cuts to Therapy Providers With 'No Relief on the Horizon' by Alex Zorn for Skilled Nursing News.  Martha Schram, NASL Immediate Past President, Aegis Therapies, and Cynthia Morton, NASL Executive Vice President, also quoted.  July 13, 2022.


NASL filed comments on the CMS Skilled Nursing Facilities Prospective Payment Proposed Rule for 2023.  Thank you to the members of NASL's SNF PPS Workgroup who worked on the comments, submitted on June 10, 2022, and over 400 NASL advocates who submitted their own comments through NASL's Call to Action. 



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