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Author: Elyse, PMP, CPHIMS
April 10, 2004


Looks like the Center for Medicare and Medicaid services finally established the criteria for classification as a rehabilitation facility.

The proposed rule states that inpatient rehabilitation facilities (IRFs) would be required to have at least 65 percent of their patient population diagnosed with at least 1 of 12 designated medical conditions in order to qualify, or continue to qualify, for reimbursement as an IRF. This stiffer regulation even with a lower percentage may be cause for concern, as some IRFs may fail to qualify.

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