Five major areas will challenge IRF providers in 2018, including the troublesome “presumptive compliance.” Let’s face it: there are a multitude of areas that Inpatient Rehabilitation Facility (IRF) leadership must focus on every day to be successful. As we begin a new year of compliance with a plethora of regulations,…
CMS has posted three new issues the RACs have proposed for auditing, pending CMS evaluation and approval. Last week the Centers for Medicare & Medicaid Services (CMS) created a new page on its Recovery Audit Contractor (RAC) website titled Provider Resources. CMS indicated that it will post on this page…
Testing for compliance with the CMS-13 list of diagnostic categories can be down through presumptive methodology or medical review.
While we’ve addressed this titular issue in prior articles, it is one of the most common issues about which we receive questions from the field in our consulting practice. Chapter 1, Section 110.2.4 of the Medicare Benefit Policy Manual outlines Medicare’s requirements for physician supervision of the patient in the…
The Inpatient Rehabilitation Facility (IRF) Prospective Payment System Final Rule for the 2018 fiscal year was published Aug. 3, 2017 without any major changes in policy and with the expected minimal updates to payment. Some key provisions of the Final Rule include the following. Specifically, it: Updates the federal prospective…
The June Medicare Payment Advisory Commission (MedPAC) report to Congress included recommendations for a Unified Prospective Payment System for Post-Acute Care services. Specifically, the report recommended that Congress direct the Secretary of the U.S. Department of Health and Human Services (IRF) to undertake the following: Implement a prospective payment system…