tci Medicare Compliance & Reimbursement - 2005 Issue 39

HOSPITALS: Study Reveals Reductive Effects Of 75-Percent Rule

Report:  30,000 fewer benes got IRF services in first year.A report from two hospital organizations warns that the '75-Percent Rule' unfairly reduces patients' access to inpatient rehabilitation facilities for necessary care.The American Hospital Association and the Federation of American Hospitals released a Moran Company study on Sept. 22 showing that the Centers for Medicare and Medicaid Services underestimated the rule's effects on IRFs. Approximately 30,000 fewer Medicare patients have received services in an IRF in the first year following CMS' implementation of the 75-Percent Rule, while the agency had estimated a decrease of only...

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