PDPM Financial Analysis: Therapy Armageddon or Therapy Freedom?

Understand How PDPM Reshaped Therapy Reimbursement — And What It Means for Your Margins Today.

Is PDPM the end of therapy as we know it — or the opportunity providers have been waiting for?

When CMS replaced RUGs-IV with PDPM, therapy reimbursement shifted dramatically. Many providers panicked. Others saw potential.

In this white paper, Melissa Sabo, OTR/L, CDP, CSRS, breaks down the true financial impact of PDPM on therapy services in skilled nursing facilities. Using real-world financial modeling and case examples, she shows where providers stand to lose — and where smart strategy can drive stronger margins than ever before.

You’ll learn:

  • Why PDPM isn’t just a reimbursement change — it’s a redistribution of revenue

  • How therapy minutes impact your margins under PDPM

  • What contract therapy pitfalls could trigger audits, denials, or recoupments

  • Why in-house therapy might be your most profitable move

  • And how leading providers are adapting to thrive in the new environment

This paper is essential reading for SNF operators, administrators, and therapy leaders navigating life after RUGs-IV.

Already know your therapy strategy needs a rethink?

Let’s talk about how Gravity Consulting can help.