Outpatient physical and other rehab therapy practices may face payment cuts in 2021. The new Medicare Physician Fee Schedule (MPFS) proposed by the Center for Medicare & Medicaid Services (CMS) will reduce reimbursements by about 9% for physical therapy, occupational therapy, and other rehab therapy practices. Deadline to Submit Comments to CMS Today by 5…
It’s pretty safe to say that 2020 was a roller coaster of a year for contract therapists in the home health space. From staying on top of COVID-19 to navigating the transition to the Patient-Driven Groupings Model (PDGM), we’ve had our hands full since we put away the party hats and champagne flutes on January…
In the continued effort to combat the spread of COVID-19, the Centers for Medicare & Medicaid Services (CMS) recently rolled out new requirements for long-term care facilities. While many of us are already doing our part by complying with suggested courses of action, the recommendations have now been upgraded to requirements with some stiff penalties…
As we all continue to adjust to the changes brought on by the implementation of the Patient Driven Payment Model (PDPM), it’s understandable that we’re going to have questions. One area that many SNF providers have been looking for clarification on is how and when to use the Interim Payment Assessment (IPA). Is this something…
Managing the work required for your role can be a daunting task. You must observe all of the rules and regulations for work performed and maintain an accurate picture of your clinical documentation to meet the proper reimbursement requirements within your place of service. The key to accurate clinical documentation is smart workflow design. Although…
In early August, the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to the Physician Fee Schedule (PFS) and some aspects of Medicare Part B that could end up lowering reimbursement for physical and occupational therapy. The exhaustive 1,355-page document1 outlined reimbursement, structural, and procedural changes proposed to begin January 1, 2021. While…
Evolving compliance regulations for skilled nursing facilities (SNFs) create a potential paradox. While the data-driven nature of skilled care — especially during the current global pandemic — demands increased access to digital information that helps inform patient treatments, improve outcomes and implement effective cost-management strategies, these new processes also introduce the potential for compliance compromise. Here’s…
Regulatory changes can spell massive headaches for any industry, and over the last year in the world of skilled nursing—that headache was spelled PDPM. In October of 2019, the Center for Medicare and Medicaid Services (CMS) officially implemented the Patient Driven Payment Model (PDPM). The payment model aimed to curb inefficiencies, overcharging, and overall bloat…
CMS recently released an updated IFR advancing and relaxing regulations regarding telehealth for healthcare providers. What this means for wound care providers is that telehealth is now a viable option that gives you a way to continue providing high quality care for your Medicare beneficiaries within the walls of an outpatient wound care department or…
This content is reprinted from a Skilled Nursing News digital magazine article written by Maggie Flynn and published on March 12, 2020. Read the full article here. The Patient-Driven Payment Model (PDPM) was specifically designed to reimburse skilled nursing facilities based on the condition of the patients that they treat, rather than by the minutes…