In-House Therapy Department Conversion


Employing an in-house therapy model versus a contract therapy model has become a growing question for many SNFs across the country. Skilled nursing facilities have two primary therapy staffing models for the delivery of physical therapy (PT), occupational therapy (OT) and speech therapy (ST) services:  the contract therapy model and in-house employee model. Because of the numerous Medicare changes implemented by the Centers for Medicare & Medicaid Services (CMS) for SNFs on a continual basis, it is important to reevaluate the key differences between the two delivery models.

Harmony Healthcare International (HHI) therapy professionals assist facilities through analysis of rehabilitation department operations, facility census patterns for all payers to establish an accurate therapy staffing pattern to delivery clinically indicated care for identified patients to maintain the highest practicable state of wellbeing per Medicare and Medicaid regulations, OBRA -87. HHI assists with establishment and refinement of department policies and procedures, analysis of assessment and documentation practices, efficiency goals, as well as educates and certifies all staff to hold the exclusive CHHRP-LTC (Certified Harmony Healthcare Rehabilitation Professional for long term care) credentials.

Potential Risk to Providers:

Facilities must identify which rehabilitation department model best fits their organization. Lack of good communication and collaboration between the therapy department, nursing, billing and management can interfere with properly managing the Medicare and Medicaid program and ability to provide quality care, reduce risks and actualizing reimbursement.

How can Harmony Healthcare International (HHI) help:

HHI in-house conversion services partner with facility management to hire a team of qualified licensed therapists. HHI  experts facilitate the development and implementation of occupational, speech, and physical therapy compliant programs for the SNF. Our goal is to establish a facility integrated rehabilitation approach allowing for improved patient care and program growth. This service includes Operational Review, Treatment Programs, Quality Assurance Programming, Policy and Procedures, in addition to Financial Reporting.

HHI in-house conversion services assist with managing the rapidly growing needs of the Medicare and Medicaid programs within the SNF. Harmony assists in calculating the necessary full time equivalent staff members the therapy department requires to manage the patient treatments. In addition, Harmony trains all existing and new staff in regards to Medicare Coverage Criteria guidelines as well as Rehabilitation case management techniques for the diverse patient population the SNF provides services to in accordance with OBRA regulations.

Free RUG Analysis - Compare your facility's utilization with current national CMS data