Updated on: May 24, 2019

NEWS ALERT: CMS Posts 2020 IRF Proposed Rule

By
Original story posted on: April 18, 2019

  • Product Headline: WEBCAST
  • Product Image: Product Image
  • Product Description:

    2020 IRF PPS: Be Prepared for Less Work, More Risk

Proposed rule calls amending regulations clarifying the determination as to whether a physician qualifies as a rehabilitation physician is made by the IRF.

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system for the fiscal year 2020.

The proposal includes an estimated overall 2.5 percent increase factor that includes an IRF-specific market basket estimate of 3 percent less a .5 percent productivity adjustment. Additionally, CMS is proposing case mix group (CMG) revisions based on removal of Functional Independence Measure (FIMtm) scoring and use of Quality Indicator data for classification of patients into CMG groups.  Of note, CMS elected to weight the scores for functional indicators in determining placement in a CMG.

Updated Related to Quality Measures
The proposed rule also includes the following:

  • Two proposed additional Quality Measures both of which relate to Medication Reconciliation:
    • Transfer of Health Information to the Provider; and
    • Transfer of Health Information to the Patient.
  • Proposed adoption of a number of standardized patient assessment data elements (SPADEs).
  • These added data elements will assess cognitive function and mental status, special services, treatments and interventions, medical conditions and comorbidities, impairments, and social determinants of health (race and ethnicity, preferred language and interpreter services, health literacy, transportation, or social isolation).
  • Updates to the Discharge to Community IRF QRP measure
  • Removal of the published list of compliant IRFs from the IRF QRP website
  • Requirement to collect IRF-PAI data on all patients regardless of the patients’ payer

Additional Proposed Provisions
CMS is also proposing to amend the regulations to clarify that the determination as to whether a physician qualifies as a rehabilitation physician is made by the IRF.

Comments on the proposed rule will be accepted until June 17, 2019.

The proposed rule may be found at this link:  https://www.federalregister.gov/documents/2019/04/24/2019-07885/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal

The proposed rule is expected to be published in the Federal Register on April 29, 2019.

Angela Phillips, PT

Angela M. Phillips, PT, is President and Chief Executive Officer of Images & Associates. A graduate of the University of Pennsylvania’s School of Allied Health Professions, she has more than 40 years of experience as a consultant, healthcare executive, hospital administrator, educator, and clinician. Ms. Phillips is one of the nation’s leading consultants assisting Inpatient Rehabilitation Facilities in operating effectively under the Medicare Prospective Payment System (PPS) and in addressing key issues related to compliance. Ms. Phillips is a member of the RACmonitor editorial board and a popular guest panelist on Monitor Mondays.

This email address is being protected from spambots. You need JavaScript enabled to view it.

Related Articles

  • New Payment Models from CMS Target Kidney Disease and Radiation Therapy
    President Trump issues an executive order on kidney disease and a new payment model for radiation therapy. As reported by Dr. Ronald Hirsch on the RACmonitor.com Monitor Mondays webcast, last week the president issued an executive order on kidney disease.…
  • News Alert: CMS Proposing to Cover Acupuncture
    Coverage would include those suffering from chronic lower back pain who are also enrolled in approved studies. The Centers for Medicare & Medicaid Services (CMS) is proposing to cover acupuncture for Medicare patients who suffer from chronic lower back pain…
  • Supreme Court Decides on Judicial Deference to Agency Interpretations of Regulations
    Swing vote by Chief Justice John Roberts reflects his support of judicial precedent. On June 26 the U.S. Supreme Court issued a decision (https://www.supremecourt.gov/opinions/18pdf/18-15_9p6b.pdf)  on how courts should handle ambiguous government regulations.  Many people, including me, expected that the case…