Recent publications from the Centers for Medicare and Medicaid Services (CMS) and other federal agencies about the provision of therapy (physical therapy, occupational therapy, and speech-language pathology) in skilled nursing facilities (SNFs) have prompted discussions regarding the potential overutilization of therapy services. In an official statement posted today, APTA highlights the results of several federal reports that led to extensive changes in the SNF Resource Utilization Groups (RUG) in Fiscal Year (FY) 2010 and have influenced proposed changes to the SNF Prospective Payment System (PPS) for FY 2012 in an effort to mitigate abusive behaviors, ensure a more accurate assignment of RUG therapy levels, and lower the costs associated with therapy services under the SNF PPS.
"As these reports continue to be discussed and regulations are promulgated, APTA will continue communications with CMS, the Office of Inspector General, and Congress to ensure that they have a clear understanding of the role of physical therapy in the SNF setting so they can make informed decisions regarding changes to Medicare payment policy for these services," the association says.
Also included in the statement is information on the resources available to members, such as podcasts on changes to the MDS 3.0, summaries of federal rulemaking, FAQs, and defensible documentation guidelines. Of particular importance, APTA will hold a 2-day seminar October 28-29 in Atlanta that will specifically focus on physical therapists who practice in the SNF setting.
To read the statement, click here and scroll down to APTA Comments.