• New and Improved: Details on Sustainable Growth Rate Formula Replacement Image

    articleJun 1, 2015 | 3 min. read

    New and Improved: Details on Sustainable Growth Rate Formula Replacement

    Ding-dong—the Sustainable Growth Rate (SGR) formula is dead . As of April 16, 2015—after 17 temporary patches—the wizards in Washington have permanently repealed the flawed SGR formula that threatened to significantly cut Medicare payments. Now, when payments exceed the growth in per-capita gross domestic product, PTs will no longer face reduced payments. Instead, they can look forward to a bit more stability, simplicity, and cash flow for the next decade. The new payment determination process begins with …

  • Senate Repeals SGR in Landslide Vote Image

    articleApr 15, 2015 | 1 min. read

    Senate Repeals SGR in Landslide Vote

    Well, folks, the fix is in—the fix for the sustainable growth rate (SGR), that is. In a 92 to 8 vote, the Senate approved the SGR repeal bill, called HR2. In addition to an SGR repeal, the bill also officially extends the therapy cap exceptions process until December 31, 2017. This result is better than no therapy cap exceptions process at all; however, it’s disappointing to know that we came so close to achieving a full repeal …

  • Brace Yourself: Decreased Payments Might be Coming Image

    articleApr 14, 2015 | 3 min. read

    Brace Yourself: Decreased Payments Might be Coming

    As we warned at the end of last month , the times they are a-changin’. You’re likely well aware of the legislation that could do away with the Sustainable Growth Rate (SGR)—and extend the therapy cap for another two years. We had hoped to have better news for you at this point, but we’re still hanging tight while the Senate sings their own off-key version of Wilson Phillips’ “Hold On.” It’s April 14, 2015. That means the …

  • Senate Recesses with No Decision on SGR Bill Image

    articleMar 31, 2015 | 3 min. read

    Senate Recesses with No Decision on SGR Bill

    Let the trepidation commence. The Sustainable Growth Rate (SGR) formula—which Medicare uses to calculate reimbursements—and the therapy cap are both officially in limbo. On March 26, the House of Representatives passed legislation that would repeal SGR and extend the therapy cap exceptions process for another two years. (As an aside, the bill did not include an ICD-10 delay, so that transition is continuing as scheduled.) Enactment of that bill wouldn’t be the optimal outcome for rehab therapists, …

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