• Health care consumers trust physical therapists (PTs) to use their expert training to improve, maintain, restore, and enhance movement, activity, and health for optimal function and quality of life. The federal government and other payers rely on physical therapists to use their clinical judgment to provide patients with appropriate services and to submit proper claims for payment with accurate information.

    The Problem

    While the vast majority of health care providers are ethical and provide high-quality care, the few who abuse the system are placing patients' health at risk and costing payers and consumers billions of dollars. Unfortunately, headline-grabbing fraud and abuse cases have brought our profession under the scrutiny of the federal government and payers. This has resulted in a growing number of complex regulations that has increased the administrative burden on all PTs. There is a need for a broad educational campaign to support PTs in maintaining high standards of practice and in promoting compliance with documentation, billing, coverage, and other requirements.

    APTA has launched Integrity in Practice, a comprehensive campaign to promote high quality of care. It does so by helping PTs navigate complex regulations and payment systems and by making tools and resources available for PTs to encourage and promote evidence-based practice; ethics; professionalism; prevention of fraud, abuse, and waste; and more. APTA works continuously to reduce the number of unnecessary regulations that interfere with physical therapists' ability to provide the best care for their patients.


    The Integrity in Practice Campaign includes an intense educational initiative to prevent fraud, abuse, and waste and encourage high standards of practice. The campaign strives to educate PTs and offers the following resources:

    Choosing Wisely®

    APTA has partnered with the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely® campaign to provide specific, evidence-based recommendations that encourage both patients and PTs to make wise decisions about the most appropriate care. APTA is one of the first nonphysician groups, joining more than 50 medical specialty societies that have produced a list of 5 things members of their profession and patients should question.

    Outcomes Registry

    APTA launched the Physical Therapy Outcomes Registry in 2017 to provide a user-friendly system for collecting uniform data on patient and client outcomes. Data will help guide best practices, help providers meet regulatory reporting requirements, generate benchmarking reports, and help shape payment policy.

    APTA and its members are committed to the elimination of fraud, abuse, and waste in America's health care system.

    The APTA Integrity in Practice campaign will help preserve and promote the excellent reputation of the physical therapy profession and ensure high-quality physical therapy care for our patients.

    Campaign Goals

    1. Demonstrate leadership in the health care profession in the effort to eliminate fraud and abuse and partner with like-minded stakeholders in the profession.
    2. Educate PTs, physical therapist assistants (PTAs), and students of physical therapy on how to avoid regulatory pitfalls and reduce risk of audits and returned payments as well as how to take proactive steps to prevent fraud and abuse so they can get back to the business of delivering value and quality in physical therapist practice.
    3. Advocate on behalf of PTs and the profession to reduce or prevent further burdensome regulation and oversight, and preserve freedom to practice.
    4. Provide solutions to the problems of fraud and abuse.
    5. Protect the excellent reputation of physical therapist practice and shine a positive light on the profession.
  • Last Updated: 12/8/2017
    Contact: advocacy@apta.org