tci Medicare Compliance & Reimbursement - 2004 Issue 33

Rehab: IRFs Need To Get Up To Speed On PPS Regs

Here are the billing mistakes the OIG is looking for. If inpatient rehab facilities want to avoid paying up the next time auditors pay them a visit, they'll need to brush up on these prospective payment system regulations:        Transfers. According to the Centers for Medicare & Medicaid Services, IRFs transferring patients to acute or post-acute care facilities will have their discharge payment adjusted to a per-diem payment if the IRF stay is less than the average length of stay for non-transfer cases in the same case mix group. IRFs must use specific patient...

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