tci Medicare Compliance & Reimbursement - 2005 Issue 29

REHAB: Fight For Knee-Replacement Patients Could Start Soon

New rehab rule will set off a scramble among HHAs, SNFs and other facilities.The Centers for Medicare and Medicaid Services is moving full steam ahead with the so-called 75-percent rule in the wake of a flurry of reports on its impact on the rehabilitation industry.CMS suspended the rule's enforcement in January, pending a study by the Government Accountability Office of clinically appropriate inpatient rehab facility classification criteria. The rule requires that 75 percent of the patients in an inpatient rehabilitation hospital be treated for one of ten CMS-specified conditions, but many rehab organizations say the list of...

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