[Medical Fee Revision] Interpretation of Doubts (Part 5), Handling of Rehabilitation Implementation Plans, Training for Bladder Independence Support Addition, etc. – PT-OT

News Highlights

The interpretation of doubts (Part 5) regarding the 2026 medical fee revision has been released, outlining the handling of rehabilitation implementation plans and the training requirements for the Bladder Independence Support Addition. This revision underscores the importance of considering medical fee trends in the medium to long term for the management strategies and business succession of medical institutions. Furthermore, points such as maintaining facility standards through economies of scale, dispersing the burden of equipment investment, and utilizing tax benefits by transitioning to specific medical corporations or social medical corporations are again drawing attention as advantages of M&A and group formation.

Perspective from M&A Medical Editorial Department

The interpretation of doubts in this medical fee revision directly impacts on-site operational practices, making it crucial information for medical institutions, especially those with rehabilitation departments or related divisions. For instance, changes in the content and signatory requirements for rehabilitation implementation plans are directly linked to compliance with billing requirements and carry the risk of reduced remuneration. Additionally, the clarification of training requirements for the Bladder Independence Support Addition raises the hurdle for claiming this addition while simultaneously highlighting the management challenge of developing and securing specialized professionals. These revisions go beyond mere increases or decreases in medical fees; they compel management decisions that consider the impact on each medical institution’s service delivery system, staffing, and ultimately, future profitability and business continuity. M&A-driven scale expansion or group formation can serve as effective management strategies in terms of strengthening the ability to respond to increasingly complex fee revisions, supporting the recruitment and retention of specialized professionals, and dispersing the burden of introducing the latest equipment.

Points Highlighted by This News

• Detailed changes in the handling of rehabilitation implementation plans directly affect compliance with billing requirements and revenue.
• Training requirements for the Bladder Independence Support Addition influence the hurdles for professional development and addition claims.
• The need for medium- to long-term management and succession strategies, considering the medical fee revision cycle, is increasing.
• The possibility that group formation contributes to management stabilization through maintaining facility standards and dispersing equipment investment burdens.

Practical Questions Arising from This News

• What specifically will change in the content of rehabilitation implementation plans?
• Are external training programs acceptable for the Bladder Independence Support Addition training?
• Considering the content of this revision, what size of medical institution should consider M&A?

If You Feel “Should I Consult?”

The current medical fee revision, particularly the interpretation of doubts regarding rehabilitation and specific additions, may affect daily medical fee billing. If you find your institution’s response complex, or if securing personnel and training resources is difficult, it may be a sign to consider strengthening your management base through business succession or M&A. In particular, if you are considering leveraging economies of scale to maintain or improve facility standards, or to disperse the burden of recruiting and training specialized professionals, consulting with experts is a viable option.

M&A Medical (CentralMedience Inc.) supports the business succession of medical corporations, hospitals, and clinics on a full success fee basis as an M&A support institution certified by the Small and Medium Enterprise Agency. Consultations are accepted with strict confidentiality. Free consultation here