PDPM and Speech-Language Pathology

by Renee Halfhill, LPT, CEO & President of BlueSky Therapy

speechThe Centers for Medicare & Medicaid Services’ (CMS) new Patient-Driven Payment Model (PDPM) is putting a renewed focus on appropriate therapy services for residents. CMS designed PDPM to more closely link reimbursements to skilled nursing facilities with the complexity of the care they provide. While there is going to be a lot of “adapting to change” during this transition, a few opportunities for success have emerged including using speech therapy to highlight innovative outcomes.

When most people hear the term “speech therapist,” they think of someone who helps individuals improve their ability to talk and articulate. While it is true that speech therapists do help individuals resolve these issues, they also do a lot more to help individuals suffering from a myriad of other problems. Specific disorders for which SLPs provide treatment include: swallowing disorders, cognitive-communicative disorders, social communication disorders, and language disorders such as aphasia.

Under PDPM, Speech Therapy is going to be more important to the resident’s care plan than it currently is under RUGS. There is also an increased importance on accurate coding and personalized care for patients, not just the amount of time spent on therapy.  

At Blue Sky Therapy, our SLPs use their expert tools of evaluation to assess and diagnose resident’s and come up with a symptom-specific treatment program to help achieve goals that will highlight the personalized care under PDPM. Our SLPs use innovative skills and tools that will shine under PDPM with the SLPs abilities to show creative approaches to achieving successful outcomes for patients.

PDPM Speech Language Pathology SLP CMS RUGS

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