Through CMS’s proposed update to the prospective payment system (PPS) for the federal fiscal year 2020, SNF’s would see an increase in Medicare payments of $887 million.
2020 marks the implementation of the Patient-Driven Payment Model (PDPM), which focuses on clinical conditions as opposed to the volume of care provided.
Under this model, CMS placed a limit that no more than 25% of therapy services provided to a SNF resident during a covered Medicare Part A stay may be in a group setting. Group is currently defined as four residents performing similar activities. However, with the proposed update, the definition would change to be two to six residents.
For more on this, see the @ReedSmithHealth article below.