tci Medicare Compliance & Reimbursement - 2005 Issue 22

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...

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