OIG Recommends New Payment System for SNF Therapy Services

July 2, 2015
Rick Gawenda

The Office of the Inspector General (OIG) has issued a report recommending the Centers for Medicare and Medicaid Services (CMS) accelerate their efforts to implement a new method for paying for therapy services.  A new payment method may eliminate the need for the new assessments by basing payments on beneficiary characteristics rather than on the amount of therapy provided. In the meantime, CMS should mitigate the problems with the new therapy assessments by (1) reducing the financial incentive for SNFs to use assessments differently when decreasing and increasing therapy and (2) strengthening the oversight of SNF billing for changes in therapy. CMS concurred with both of the OIG recommendations. To read the full report, click HERE.

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