SPRY has been awarded 17 badges in G2 Winter 2025 reports.
Read about it in our press release.
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One perennial concern for healthcare providers is reimbursement rates, and unfortunately, 2024 brings another cut to the conversion factor. The conversion factor for the 2024 PFS calendar year drops to $32.74, representing a 3.4% decrease from the previous year. As rehab therapists grapple with evolving healthcare landscapes, understanding the financial implications of these changes is crucial.
Rehab therapists closely monitor the therapy threshold, a pivotal factor influencing outpatient services. In CY 2024, the KX modifier threshold for combined physical therapy and speech-language pathology services is $2,330, while occupational therapy services share the same threshold. Looking ahead, the targeted medical review (MR) threshold is established at $3,000 through CY 2027, with annual updates based on the Medicare Economic Index (MEI) starting from CY 2028.
Supervision rules have been subject to increased scrutiny, particularly with the advent of remote therapeutic monitoring (RTM) and the ongoing public health emergency (PHE). The 2024 final rule allows private practice physical therapists (PTPPs) and occupational therapists in private practice (OTPPs) to employ general supervision for assistants using RTM services. This flexibility extends through the end of 2024, prompting discussions about the potential extension to traditional therapy services in brick-and-mortar clinics.
CMS acknowledges the significance of caregiver training and introduces five new CPT codes to facilitate reimbursement for caregiver training services under a therapy plan of care. These services, designed to achieve desired patient outcomes, cover a range of activities without the patient present. Rehab therapists now have the opportunity to bill for caregiver training, emphasizing the importance of involving family members, friends, or neighbors in the rehabilitation process.
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