Final answer:
Under the Patient-Driven Payment Model for skilled nursing facilities, no more than 25% of therapy minutes can be delivered as group or concurrent therapy; this ensures that most rehabilitation is provided on an individual basis.
Step-by-step explanation:
According to SNF PDPM, no more than 25% of therapy minutes can be provided as group or concurrent therapy.
The Patient-Driven Payment Model (PDPM) is a classification system for skilled nursing facilities (SNFs) introduced by the Centers for Medicare & Medicaid Services (CMS). It aims to focus on the patient's condition and resulting care needs rather than the volume of services provided, especially in therapy. To ensure that patients receive the majority of their rehabilitation in a personalized, one-on-one setting, CMS has set a combined limit for group and concurrent therapy. Of all the therapy minutes provided, a maximum of 25% can be group or concurrent, with the remaining 75% or more needing to be individualized therapy. This change encourages more tailored and potentially more effective treatments for patients within SNFs under Medicare Part A.
No more than 25% of therapy minutes can be provided as group or concurrent therapy.The SNF PDPM (Patient-Driven Payment Model) is a reimbursement system used in skilled nursing facilities. Under this model, therapy minutes are divided into three categories: individual, group, and concurrent therapy. Individual therapy is provided one-on-one with a therapist, while group therapy involves multiple patients receiving therapy together. Concurrent therapy refers to multiple patients receiving different services at the same time, but with a therapist present. According to the SNF PDPM, no more than 25% of therapy minutes can be provided as group or concurrent therapy.