Inpatient Rehab Facility PPS
The CMS April 27 issued proposed rules for the inpatient rehabilitation facility and skilled-nursing facility prospective payment systems for fiscal year 2019.
Inpatient rehabilitation facilities (IRFs) have faced significant scrutiny from Congress and the Centers for Medicare & Medicaid Services (CMS) in recent years, which has led to multiple interventions, including strict criteria for IRF patients, multiple payment cuts and other policy…
The Centers for Medicare & Medicaid Services has clarified its inpatient rehabilitation facility medical review guidelines to confirm that auditors should not deny claims solely because a therapy time threshold, commonly referred to as the “3-hour rule,” was not met.
AHA comments to provide feedback on the work that the Centers for Medicare & Medicaid Services (CMS) and the Assistant Secretary for Planning and Evaluation (ASPE) are undertaking to develop a unified post-acute care prospective payment system (PAC PPS). AHA's post-acute care membership…
Rehabilitation services are measures taken to promote optimum attainable levels of physical, cognitive, emotional, psychological, social, and economic usefulness, and thereafter to maintain the individual at the maximal functional level.
Post-Acute Members-Only Calls: Proposed and Final Rules for 2018
The Medicare Payment Advisory Commission this week discussed several draft recommendations for Congress, which it could vote on in January. The proposals would make recommendations to increase payment rates for hospital inpatient and outpatient services by 1.25% in 2019; eliminate the 2019 and 2020…
Inpatient rehabilitation facilities and long-term care hospitals have until Jan.
The Centers for Medicare & Medicaid Services today issued a final rule that cancels the cardiac and surgical hip and femur fracture treatment mandatory bundling payment programs, known as the episode payment models. It also cancels the cardiac rehabilitation incentive payment model. These…