FAQ – MPPR

This Multiple Procedure Payment Reduction (MPPR) FAQ from Gawenda Seminars & Consulting explains how the Medicare MPPR policy for therapy services affects reimbursement when multiple outpatient therapy procedures or units are billed on the same day. The FAQ details how Medicare identifies “always therapy” CPT codes, ranks the highest practice‑expense component, reduces the practice expense portion of subsequent procedures by 50%, and ensures compliant billing of ancillary units across disciplines. Use this resource to understand how MPPR modifies your payment structure and impacts documentation and coding strategy in therapy practices.

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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.