Respiratory Vendors See Surge in Business, But SNFs Must Pay (Mostly) Out-of-Pocket

Respiratory service vendors have seen a boom in business due to the pandemic, with respiratory therapists sometimes filling in when COVID unit staff on a nursing home campus became scarce.

RTs became indispensable when facilities were experiencing a surge in COVID-19 cases, and continue to be needed to treat virus “long-haulers,” administering high-flow oxygen without having to transfer a resident to the hospital.

But specialty services like respiratory therapy still aren’t eligible for direct reimbursement at a nursing home, vendors say.

The ‘ugly stepchild’ of reimbursement

Instead of being assigned a code linked to a particular fee per encounter, like a primary provider, cardiologist or nurse practitioner, RTs are usually compensated on a salaried or per shift basis in a nursing home.

“There’s no [direct] reimbursement from Medicaid, Medicare insurance for respiratory therapists for the labor or the equipment….

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