tci Medicare Compliance & Reimbursement - 2005 Issue 28

HOSPITALS: Expanded Classification Criteria Could Ease Burdens

GAO greenlights IRFs' 75-percent compliance threshold.The government has decided that rehab providers can receive Medicare payments on services for patients with the additional qualifying medical conditions listed in the May 7, 2004 final rule.The Government Accountability Office approved the Centers for Medicare and Medicaid Services' implementation of its final rule that allows a four-year transition period to increase inpatient rehabilitation facilities' compliance thresholds from 50 to 75 percent, CMS announced June 21.The GAO was skeptical of the final rule's additional qualifying conditions, however. "There was general agreement among all the groups of experts interviewed that condition...

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