FY 2025 SNF Proposed Rule Released
On March 28, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2025 Skilled Nursing Facility (SNF) proposed rule. To read a summary of the proposed rule, click HERE. To read the entire proposed rule, click HERE. CMS will accept public comments on the proposed rule until May 28, 2024.
CMS Releases CY 2024 Medicare Physician Fee Schedule Proposed Rule
On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. This proposed rule does have regulatory and reimbursement implications for outpatient physical, occupational, and speech therapy provided in all outpatient therapy settings. In this article, I will inform you of what CMS is proposing on the following topics:
CMS Releases SNF FY 23 Proposed Rule
On April 11, 2022, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2023 proposed rule for skilled nursing facilities for Part A services reimbursed under Patient Driven Payment Model. Comments on the proposed rule must be received by June 10, 2022. To access the proposed rule, click
CMS Releases IRF FY 2023 Proposed Rule
On March 31, 2022, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2023 proposed rule for Inpatient Rehabilitation Facilities. The proposed rule was published on April 6, 2022 and CMS is accepting comments on the proposed rule until 5:00pm on May 31, 2022. To access the proposed rule, click
CMS Releases CY 2022 Proposed Rule for Outpatient Therapy
On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). This rule does apply to outpatient physical, occupational and speech therapy services provided in all outpatient therapy settings except a critical access hospitals. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. Highlights of the final rule include, but are not limited to, the following: CO and CQ Assistant Modifiers Payment Reduction Calculation Adding Therapy Services to the List of Medicare Telehealth Services Therapy Codes Removed
CMS Issues FY 2022 SNF Proposed Rule
On April 8, 2021, the Centers for Medicare and Medicaid Services (CMS) issued the fiscal year (FY) 2022 Skilled Nursing Facility (SNF) proposed rule. Comments will be accepted on the proposed rule until 5:00pm on June 7, 2021. The proposed rule is schedule to be published in the Federal Register on April 15, 2021. Highlights of the proposed rule include the following: CMS is proposing to update the SNF payment rates by 1.3% CMS is soliciting broad public comments on a potential methodology for recalibrating the PDPM parity adjustment that would account for the potential effects of the COVID-19 PHE
CMS Releases Hospital OPPS CY 2021 Proposed Rule
On August 4, 2020, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2021 proposed rule titled “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; and Physician-owned Hospitals.“ Highlights of the proposed rule include: CMS is proposing to eliminate the Inpatient Only (IPO) list over a three-year transitional period with the list completely phased out by CY 2024 CMS is proposing to expand the
CMS Releases CY 2021 Proposed Rule for Services Paid Under the MPFS
The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2021 Proposed Rule for services paid under the Medicare Physician Fee Schedule (MPFS). This would include outpatient physical, occupational and speech therapy services provided in all settings (private practice (both therapist-owned and physician-owned, skilled nursing facilities doing Part B, comprehensive outpatient rehabilitation facilities, rehabilitation agencies, home health agencies providing Part B therapy services in the home and hospital outpatient therapy departments). This proposed rule would not apply to outpatient therapy services provided by critical access hospitals (CAHs) since CAHs are not reimbursed under the MPFS. Highlights