Therapy providers in the nursing home space believe their role in increasing mobility will contribute to upside in the sector – especially within the context of the Patient-Driven Payment Model (PDPM), pandemic recovery and staffing challenges. It’s a draw for prospective residents and their families, both on the short-term and long-term side, as clinical improvements […]
The National Association for the Support of Long Term Care (NASL) kicked off its 33rd annual meeting in Nashville this week by announcing it would be operating under a new name: Advion. Complete with the tagline: “the next generation of NASL,” the new name recognizes the trade association’s position as both an advocate for patients, […]
Providers are staring down yet another slash to their bottom lines as the federal government last week proposed reductions to Medicare reimbursement for various Part B therapy services. Early assessments of the 2023 Medicare Physician Fee Schedule Proposed Rule have found that cuts could fall between 4 to 4.5%, according to Mark Besch, senior specialist […]
As the nursing home industry tried to digest a sweeping set of industry reforms proposed by the Biden administration on Monday, a Capitol Hill lawmaker got in on the action by proposing a bill to force private equity firms to disclose their ownership in facilities. Amid all these developments, one thing has become evident: the […]
The Centers for Medicare and Medicaid Services (CMS) on Tuesday finalized its Calendar Year (CY) 2022 Physician Fee Schedule (PFS), confirming a 1% cut to Medicare Part B physical and occupational therapy rates, down from the proposed 2% in July, and a 15% cut for services provided by therapy assistants. CMS specified the 15% cut […]
The federal government has again proposed reductions to Medicare reimbursement for various Part B therapy services as part of its 2022 Medicare Physician Fee Schedule Proposed Rule. And while the suggested roughly 2% in cuts are measurably lower than reductions floated this time last year, Cynthia Morton, the executive vice president for the National Association […]
The new spending bill passed by Congress on Monday night, which includes $900 billion in COVID-19 relief, also contains some respite for cuts to Medicare Part B that posed a significant threat to therapy operations in skilled nursing facilities. The Consolidated Appropriations Act of 2021 is now awaiting President Trump’s signature, and it includes a […]
Starting New Year’s Day, payment rates for occupational, speech, and physical therapy for Medicare Part B will be cut by up to 9%. Skilled nursing facilities will have to take a hard look at these services, a ripple effect that could have big implications for third-party vendors. The cuts come on top of pivotal changes […]
The federal government on Tuesday finalized its proposed physician fee schedule for the 2021 calendar year, formalizing cuts to Medicare reimbursement rates for therapy services provided to residents covered under Part B — while also expanding some telehealth flexibilities offered during COVID-19. The Centers for Medicare & Medicaid Services (CMS) in August floated a 9% […]
The COVID-19 pandemic has reinforced the need for high-level clinicians in nursing facilities, but a pending change to Medicare reimbursements could force physicians to take a steep pay cut in order to continue to practicing in post-acute and long-term care — or push them further and further out of the space. The Medicare Physician Fee […]
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) […]
The federal government has waived multiple regulations around telehealth with an eye toward making it as easy as possible to stay home and receive medical care. It’s a move that seems well-suited to benefit the Medicare beneficiaries living in skilled nursing facilities across the U.S., who need care while minimizing contact with visitors during the […]
Many therapy teams consider their services essential to nursing home residents — even after the federal government guided the sector to prohibit unnecessary visits to facilities amid the spread of the novel coronavirus. Even with the push to reduce “unessential” services, the government opened the floodgates for nursing facilities to serve overflow patients from hospitals […]
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 […]
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 […]
A proposed paperwork change could have a major impact on nursing homes’ ability to bill for Medicaid services. The decision to eliminate Section G from the Minimum Data Set (MDS), a move by the Centers of Medicare & Medicaid Services (CMS) set for October 1, is being met with apprehension and confusion in the industry […]
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 […]
The new Medicare payment model for skilled nursing facilities upends the old system of rehabilitation minutes driving reimbursement. With the Patient-Driven Payment Model (PDPM) scheduled for implementation on Oct. 1, 2019 by the Centers for Medicare & Medicaid Services (CMS), SNFs and therapy providers alike are scrambling to catch up and prepare. In this changing landscape, […]
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