tci Medicare Compliance & Reimbursement - 2005 Issue 20

REHAB: Meeting IRF Criteria A Must For Facilities

Compliance review periods governed by tricky CMS guidelines.Inpatient rehabilitation facility qualification could become more difficult if a facility waits until July 2005 to apply for an IRF classification review.The Centers for Medicare & Medicaid Services (CMS) clarified its IRF classification process, which allows facilities to receive reimbursement under the IRF Prospective Payment System, in an April 20 Medlearn Matters article. Your Medicare fiscal intermediary and CMS RO will determine a facility's IRF status annually at the beginning of its cost-reporting period.How? The FI uses data from a facility's most recent, consecutive and appropriate 12-month cost reporting...

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