Skip to main content

In this review: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025; Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program

SNF Fact Sheet

IRF Fact Sheet

The big picture: Beginning Oct. 1, skilled nursing facilities will see a 4.2% pay increase, slightly higher than the 4.1% included in the proposed rule the U.S. Centers for Medicare & Medicaid Services issued earlier this year. In other provisions of the rule, SNFs will be subject to greater accountability and will see changes to the Quality Reporting Program.

Inpatient rehab facilities will receive a 3% increase, up from the proposed 2.8%. Other than that, there were only a few minor changes to IRF quality reporting.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

News

PTA Win: TRICARE Manual Reflects Change From Direct Supervision to General

Oct 29, 2025

On Sept. 18, Humana Military announced a change in TRICARE policy regarding the supervision requirements for physical therapist assistants in private practice.

Article

From Recovery to Prevention: APTA Report Charts New Course For Public Awareness

Oct 15, 2025

A newly released research report, APTA’s Consumer Perceptions Report, sheds light on how Americans perceive physical therapy — and where opportunities

Article

Cigna Implements Outpatient Hospital Physical Therapy Site-of-Care Review

Oct 14, 2025

Effective Oct. 1, Cigna Healthcare implemented a new site-of-care review process for outpatient hospital physical therapy and occupational therapy