Over the past 2 years, U.S. Physical Therapy has been involved in a rapidly growing Alliance of all of the largest companies in our Physical Therapy profession and over the past year has added many hundreds of locations through regional and local private practices in an affiliate membership within our Alliance. Officially, we are called the “Alliance for Physical Therapy Quality and Innovation” or “APTQI”. In an effort to be fully engaged in the processes surrounding the Alternative Payment System (“APS”), APTQI has had representatives attend every AMA work group meeting related to these proposed code-set changes. Below, we have published the letter shared with our USPh Partner’s and staff, as well as our Membership’s correspondence with the AMA, APTA, and CMS.