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Group and Concurrent Therapy under PDPM

Updated: Aug 16, 2018

Under the new SNF reimbursement model, PDPM, CMS finalized its ruling on the utilization of group and concurrent therapy. In the final ruling, group and concurrent therapy will be limited to 25% of the therapy provided (per discipline). CMS expects at least 75% of therapy services to be provided during individual treatment sessions. CMS reported, “Because the proposed SNF PDPM would not use the minutes of therapy provided to a resident to classify the resident for payment purposes, we are concerned that SNFs may once again become incentivized to emphasize group and concurrent therapy, over the kind of individualized therapy which is tailored to address each beneficiary’s specific care needs which we believe is generally the most appropriate mode of therapy for SNF residents.”



Finally, CMS noted that this ruling may be revised based on over-utilization of group and concurrent therapy by SNF providers. Do you think SNFs will push to maximize group and current therapy to reduce costs? How will this affect patient care? Will it inevitably reduce the hours provided by the licensed therapist/assistant? If so, how will this affect compensation for therapists/assistants working in SNFs?


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