CMS Proposes 9% Cut to Medicare Therapy Rates, Threatening PT, OT, Speech Services in Nursing Homes

The federal government is proposing a range of reductions to Medicare reimbursement for various Part B therapy services as part of its Medicare Physician Fee Schedule for the calendar year 2021, including physical, occupational and speech-language services in skilled nursing facilities. The fee schedule was announced by the Centers for Medicare & Medicaid Services (CMS) […]

Therapists Generally Considered Essential Amid Nursing Home Visit Ban — But Some Told to Stay Away

When the federal government prohibited all non-essential visits to nursing homes on Friday, in-house therapy teams and third-party companies were left wondering exactly who counted as “essential” — and whether they were part of the exempted health care workers that can continue to enter facilities. In general, SNN found that therapy services are continuing throughout […]

Bipartisan Group of 99 Lawmakers Calls on CMS to Rethink 8% Therapy Payment Cut

A group of 99 U.S. representatives, consisting of both Republicans and Democrats, this week asked the Centers for Medicare & Medicaid Services (CMS) for more information about a rule that could have a major impact on nursing home residents who receive therapy services. Under the 2020 Physician Fee Schedule (PFS) final rule, CMS implemented a […]

Pending Part B Changes Could Have Major Impact on Nursing Home Finances, Therapy Staffing

Early returns for the new Medicare Part A reimbursement system for nursing home operators appear positive, but some industry advocates warn that more Part B pain could be coming over the next few years, both for therapists and skilled nursing providers. And although the exploding senior population represents heavy demand for therapy services, some leaders […]

Looming 8% Cut to Therapy Payments Could Have ‘Major Impact’ on Residents, Operators

There’s been significant attention focused on the potential for therapy reductions and reimbursement shifts amid the transition to the Patient Driven Payment Model (PDPM) on October 1, but concerns may soon be shifting to another looming therapy change — this time under Medicare Part B. The Centers for Medicare and Medicaid Services (CMS) has proposed […]

‘CMS is Watching’: Changing Therapy Patterns Raise Concerns About Skilled Nursing Audits, Care Quality

The first week of the new Medicare payment model for nursing homes has brought stories of rapidly shifting therapy patterns among some providers, and voices from the consulting and advocacy worlds are warning that any sudden movements could cause adverse effects — both immediately and down the road. The advent of the Patient-Driven Payment Model […]