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Physical, Occupational and Speech therapy literally turn from “revenue center” to “cost center” overnight. As volume is untethered from payment, new protocols must be cost-efficient and clinically effective – regardless of whether your department is outsourced or in-house. Assessing (and continually reassessing) therapy department staffing needs/ratios based on the “human array” of clinical profiles will determine a facility’s win/lose status in a Budget Neutral payment system transition. This program will discuss the operational implication of PDPM on therapy department financial management, including safeguards to ensure optimum efficiency without sacrificing quality and outcomes.