How Therapy Providers Can Drive SNF Upside and Optimize Reimbursement

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 […]

Long-Term Care Trade Association NASL Changes Name to Advion

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, […]

CMS Finalizes 15% Cut to Therapy Assistant Services for 2022

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 […]

CMS’ Proposed 2% Medicare Rate Cut Keeps Therapy Providers in ‘Pretty Dire’ Straits

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 […]

COVID-19 Bill Includes Some Offsets to Part B Cuts Scheduled for Next Year

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 […]

CMS Finalizes Proposed Cuts to Medicare Part B Therapy Services for 2021, Expands Telehealth Coverage

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% […]

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 Find Some COVID-19 Telehealth Opportunities — But Remain Off Medicare List

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 […]

Therapy Continues During Crisis, But Worries Over Protective Supplies and Employment Loom

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 […]

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 […]

Aegis CEO: Therapy Can Still Drive Skilled Nursing Revenue Under PDPM

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, […]