Rehab: 75-Percent Rule Report May Up Admissions Scrutiny
Proposed refining of covered IRF diagnoses 'disappoints' some. The long-awaited report from the Government Accountability Office on the 75-percent rule (which determines whether a facility qualifies as in IRF) came out in late April, and providers are reeling from what it says - and what it doesn't say."I was very disappointed by the GAO report," laments Karen Eyberger, rehab development manager for Genesis HealthCare System in Zanesville, OH. Qualifying For IRF Services May Get Tougher
In a move that left many providers shaking their heads, the GAO recommended that the Centers for Medicare and Medicaid...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: