Anticlue

Inpatient rehabilitation facility payment rule

Looks like there is a delay in the inpatient rehabilitation facility payment rule, it will not be implemented on January 1, 2004. Proposed changes to the 75 percent rule seem to be that rehabilitation facilities are required to have at least 65% of their patient population diagnosed with
stroke, spinal cord injuries, congenital deformity, amputations, major multiple trauma, hip fracture, brain injuries, polyarthrities, burns, and neurological disorders. It looks like the specificity of arthritic degeneration has been firmed up. To see the entire rule, please click here.

In reviewing the website, there aren’t any announcements of anticipated changes to Irven, the CMS provided Inpatient Rehabilitation Validation and Entry Program. One would think with changes as proposed the Case-Mix Group Calculation will be updated also.