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Despite Speech Push, Physical and Occupational Therapy Have Key Role Under PDPM

Speech therapy has taken center stage in discussions about the new Medicare payment system for skilled nursing facilities, but therapists and operators say providers can’t ignore physical and occupational therapy services as they adapt.

In the months after the Centers for Medicare & Medicaid Services (CMS) announced the new Patient-Driven Payment Model (PDPM), speech therapy quickly became the belle of the ball for one vital reason: consistent reimbursements. Under PDPM, providers will see a 2% reduction in payments for PT and OT starting on day 21, with further 2% cuts every seven days thereafter. The reimbursements for speech services, however, will not decline after the 20th day of a resident’s SNF stay.

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