What Do Providers Need to Know About Future Non-Therapy Ancillary (NTA) Changes?

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The Centers for Medicare & Medicaid Services (CMS) has been collecting feedback from healthcare providers on how to improve the Non-Therapy Ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities (SNFs). In response to concerns and data analysis from Fiscal Year (FY) 2019-2022, CMS has proposed several changes to simplify and improve how NTA points are assigned. While the NTA changes were not in effect on October 1, 2024, CMS has…

Group vs. Concurrent Therapy Part 2: Are You Documenting Accurately?

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In Part 2 of this two-part blog series “Group vs. Concurrent Therapy: Are You Documenting Accurately?” we will discuss actual documentation of examples that may not support group and concurrent therapy as skilled and reasonable. In Part 1, we reviewed the definitions of group and concurrent therapy. Both definitions can be found in the Resident Assessment Instrument (RAI) Manual, Pages O-23-O-25. To refresh your memory, the Centers for Medicare & Medicaid Services (CMS) currently defines…

Group vs. Concurrent Therapy Part 1: Are You Documenting Accurately?

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Since October 1, 2019, for Medicare A recipients, the Resource Utilization Groups (RUGS) IV is out and the Patient Driven Payment Model (PDPM) is in. The first two years of the transition were complicated by COVID and the PHE. But since May 2023 when the PHE ended, things have been getting back to normal. It is important to remember that although the reimbursement model has changed, the regulations outlined in the Centers for Medicare &…