Infinity Rehab Blog

CMS Announces SNF PPS and PDPM Final Rule. Here are the Changes…

July 31st, 2018, the Centers for Medicare & Medicaid Services (CMS) announced the final rule for the skilled nursing facility (SNF) prospective payment system (PPS) – including – Patient-Driven Payment Model (PDPM). There were no significant changes in the final rule as compared to the proposed rule.   We have highlighted key takeaways below. There will be a market basket increase of 2.4% ($820 million) – Effective October 1, 2018. Patient-Driven Payment Model (PDPM) – Effective October 1, 2019 PDPM will be a major shift away from volume-based services (RUG-IV) with the new focus being value-based services and is designed to treat the needs of … Continue reading

Patient-Driven Payment Model (PDPM) Update

Patient-Driven Care Under PDPM (via cms.gov)

In May 2018, a new value-based reimbursement proposal, Patient-Driven Payment Model (PDPM), was introduced by CMS. CMS believes PDPM is an improvement over the RUG-IV and Resident Classification System (RCS-1) models because it better accounts for resident comorbidities and patient-specific care needs while reducing the emphasis of therapy minutes. PDPM is also designed to decrease administrative complexities (paper work!) through an overhaul of required MDS schedules. PDPM is budget-neutral and classifies each resident into five categories (PT, OT, SLP, Non-Therapy Ancillaries, and Nursing) and provides a single payment based on the sum of these individual classifications. The new model is on … Continue reading

Saving Our Profession: My Journey in Professional Advocacy

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Have you ever felt called to do more for your profession but unsure where to start? That’s where I was, and I’m happy to share that being more involved is easier than you think. Here is my story: I walk into a room filled with physical therapists for a meeting to discuss state legislative issues. I don’t like politics, but I sure am concerned about the future of my profession, and that’s why I’m there. As I listen to the conversation, I cannot follow it. They are referring to procedures I don’t understand, using language I can barely interpret. I … Continue reading

Why do we serve?

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I had been working about 3 weeks as an in-house Outpatient provider of Physical Therapy in my new job at a beautiful Senior Living facility, when it finally hit me what the déjà vu feelings I was having were. Every morning as I began my day in my office, I would hear a small group of women sitting in the exercise room gossiping before going to the dining room for breakfast.  I watched as the seniors jockeyed for who to sit by and who not to sit by at their meals.  I felt sad for those left out and irritated … Continue reading

TAKE ACTION NOW

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Dear NASL Advocate, Congress is working to address many priorities including tax reform, continuing resolutions, funding for 2018, CHIP reauthorization, and the so-called Medicare “Extenders Package” that will contain the Therapy Cap repeal and related provisions.  The situation is fluid with Congress identifying and negotiating offsets, or other policies to pay for these priorities.  NASL is now hearing that it is possible the Medicare “Extenders Package” may not be taken up by Congress prior to December 31st.  The current exceptions process runs through December 31, 2017.  This could mean that Congressional action on the Therapy Caps does not take place … Continue reading