Big Payment changes for PTs in SNFs

The American Board of Physical Therapy is reporting changes in the 2019 rules for how physical therapists in skilled nursing facilities and inpatient rehabilitation facilities will be paid.

“The new rules, set to go into effect in October of this year, include increases in payment of 2.4% for SNFs and 0.9% for IRFs…For PTs in IRFs, the reporting process could become a bit less burdensome, while PTs in SNFs will need to get up to speed with an entirely new payment system that does away with the Resource Utilization Groups Version IV (RUG-IV) process.”

The┬áCenters for Medicare and Medicaid “adopted a model that bases payments on a resident’s classification among 5 components, including physical therapy. Final payment is then calculated by multiplying the patient’s case-mix group with each component (both base payment rate and days of service received) and then adding those up to establish a per diem rate.”

Confused? Click on the link above to read the ABPT story. It contains links to more detailed resources.

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