Payment Reform

How much group therapy should providers be aiming for when the clock strikes PDPM?

Based on my conversations with our clients, SNFs and therapy providers throughout the country, I’ve heard plans that range from ramping up rapidly, to gradually phasing it in over months or years.

There are good reasons to go in either direction, or anywhere in between.

Consider the financial uncertainty. Many SNFs just don’t know what their books will look like several... Read More

When CMS issued an Advanced Notice of Proposed Rulemaking (ANPRM) seeking comments on replacing the existing SNF PPS case-mix RUG-IV payment methodology with a new model, the Resident Classification System, Version 1 (RCS-1), therapy providers everywhere began to wonder how it might affect their businesses. The ANPRM, entitled Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities, is subject to a 60-day comment period; the comment period was extended until August 25,... Read More

by Rita Cole, SLP, Clinical Director at Optima Healthcare Solutions

Several regulatory issues and trends that have an impact on the health care industry, specifically on Skilled Nursing Facilities (SNFs) and rehabilitation providers, are currently in the spotlight on Capitol Hill. Though these regulations will have a direct impact on SNFs, therapy providers will also be affected, so it’s important for all therapy providers to be aware of the implications.

Major... Read More