Inpatient Rehabilitation Facility PPS
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Content Section
- FY 2010 IRF PPS Proposed Rule Data Files are available for download from the Data Files web page.
- FY 2010 Proposed Rule for Inpatient Rehabilitation Facilities PPS (CMS 1538-P) is available for download from the List of IRF Federal Regulations web page.
- Proposed Revisions to Section 110 of the Medicare Benefit Policy Manual (MBPM) – In response to recent concerns about IRF coverage policy, CMS assembled an internal workgroup in June 2007 to determine how best to update the current IRF coverage criteria to improve understanding and consistency of the medical necessity guidelines, and ensure that they reflect industry-wide best practices. The workgroup enlisted the advice of medical directors from within CMS, from the Department of Health and Human Services, from several of the fiscal intermediaries, from one of the qualified independent contractors (QICs), and from the National Institutes of Health. These individuals, including general physicians, physiatrists, and therapists, considered how best to identify those patients for whom IRF coverage was intended (i.e., patients who both require complex rehabilitation in a hospital environment and could most reasonably be expected to benefit from IRF services). A draft of the proposed policy guidelines in section 110 of the MBPM is now available for download in the Downloads section below. We encourage the public to submit comments to MBPMComments@cms.hhs.gov by June 30, 2009
- IRF Report to Congress Comments -- These are the comments that CMS has received on its upcoming Report to Congress on the classification criteria applicable to Inpatient Rehabilitation Facilities. We encourage the public to submit comments to IRFReporttoCongress@cms.hhs.gov by February 20th, 2009.
- IRVEN - Patch Version 2.2 (1/15/2009) system changes are now available for download in the Downloads section of the Software page.
- Section 115 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (PL 110-173) states that the Secretary of Health and Human Services, in consultation with physicians (including geriatricians and physiatrists), administrators of inpatient rehabilitation facilities, acute care hospitals, skilled nursing facilities, and other settings providing rehabilitation services, Medicare beneficiaries, trade organizations representing inpatient rehabilitation hospitals and units and skilled nursing facilities, and the Medicare Payment Advisory Commission shall submit a Report to Congress. See the download section for information on upcoming meetings relating to this Report to Congress.
Page Last Modified: 05/06/2009 3:51:26 PM
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