Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services
Published:
February 19, 2026
Miami PIP Attorneys - Personal Injury Protection Lawyers
Did you know that pursuant to the new 2013 PIP statute certain insurance companies feel entitled to utilize MPPR reductions? Each individual insurance contract allows and disallows certain reductions to be made. Not every reduction is done properly, and some are not even permissible pursuant to that particular contract.
MPPR Reductions - Don't be taken advantage of
Don’t be taken advantage of by improper reductions. Contact us today if you have any questions regarding MPPR reductions.Section 3134 of The Affordable Care Act added section 1848(c)(2)(K) of TheSocial Security Act, which specifies that the Secretary of Health and HumanServices shall identify potentially misvalued codes by examining multiple codesthat are frequently billed in conjunction with furnishing a single service. As a stepin implementing this provision, Medicare is applying a new MPPR to the PEcomponent of payment of select therapy services paid under the MPFS. Thereduction will be similar to that currently applied to multiple surgical proceduresand to diagnostic imaging procedures. This policy is discussed in the CY 2011MPFS final rule. Click here to read more
