Current News



Group Therapy Frequently Asked Questions and Answers

CPT code 97150 (Group Therapy) remains one of the most confusing CPT codes for physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants to understand. In this article, I will answer the following questions: Let’s Begin!

Read More

CMS Releases FY 2020 SNF Final Rule

The Centers for Medicare and Medicaid Services (CMS) has released the Fiscal Year 2020 final rule for the Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF). This final rule finalizes the new payment system, Patient Driven Payment Model (PDPM), that goes into effect with dates of service on and after October 1, 2019. In addition, the final rule revises the definition of group therapy under the SNF PPS and updates requirements for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing (VBP) Program. To access the final rule, click HERE. In addition, Gawenda Seminars

Read More

CMS Releases FY2020 SNF Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has released the Skilled Nursing Facility (SNF) fiscal year (FY) 2020 proposed rule. CMS has published a fact sheet that highlights 3 major provisions of the proposed rule that are: The proposed changes to SNF payment policy under the SNF Prospective Payment System (PPS) The SNF Value-Based Purchasing Program (VBP) The SNF Quality Reporting Program (QRP) In FY 2020, CMS expects payments to SNF’s to increase by 2.5% compared to FY 2019. CMS is proposing to change the definition of group therapy in the SNF Part A setting to align with the

Read More