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Rehabilitation
In a broad sense, rehabilitation services are measures taken to promote optimum attainable levels of physical, cognitive, emotional, psychological, social, and economic usefulness, and thereafter to maintain the individual at the maximal functional level. The term is used to denote services provided in inpatient and outpatient settings, ranging from comprehensive coordinated medically based programs in specialized hospital settings to therapies offered in units of hospitals, nursing facilities, or ambulatory centers. Resources found on this site mainly focus on Medicare payment and related implementation issues.
Medicare’s Inpatient Rehabilitation Facility Prospective Payment System
On August 7, 2001, the Centers for Medicare & Medicaid Services (CMS) published a prospective payment system (PPS) for Medicare Inpatient Rehabilitation Facilities (IRF) as required by the Balanced Budget Act of 1997 (BBA). The payment system that became effective on January 1, 2002, significantly changed how inpatient medical rehabilitation hospitals and units are paid under Medicare. The payment system uses a streamlined patient assessment instrument (the IRF PAI), which incorporates functional independence and case mix measures. This site provides information and resources relative to the implementation, review, and operation of primarily hospital-based medical rehabilitation services.
Visitors to this site may also be interested in learning more about the resources and services of the AHA Constituency Section for Long-Term Care and Rehabilitation. This special section of the membership comprises over 2,500 members that offer medical rehabilitation, long-term acute, skilled nursing, home health, outpatient and post-acute care.
Some of the resources within the AHA web site are designated "Members Only" and require a username and password for access. For assistance or for more information, contact the AHA at 800-424-4301.
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Briefing on year-end congressional action and possible implications for IRFs
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AHA News
- Mar 15, 2013 | MedPAC issues March report to Congress
- Feb 08, 2013 | CMS clarifies therapy cap exceptions process for CAHs
- Jan 31, 2013 | AHA long-term care/rehab section names 2013 leaders
- Jan 11, 2013 | MedPAC finalizes 2014 recommendations for post-acute care
- Jan 07, 2013 | AHA to MedPAC: Positive 2014 payment update 'essential'
- Dec 07, 2012 | MedPAC considers 2014 payments for post-acute care
- Oct 24, 2012 | Proposed settlement would clarify Medicare maintenance coverage
- Sep 13, 2012 | Medicare contractor rescinds draft LCD for IRF patients
- Sep 10, 2012 | AHA urges Medicare contractor to rescind draft LCD for IRF patients
- Aug 10, 2012 | CMS names new participants in Medicare demo for chronically ill
- Mar 15, 2013 | Megaprojects give way to rehabs
Publications
Recent Efforts
- Feb 08, 2013 | CMS Clarifies Outpatient Therapy Cap Exceptions Process for CAHs

- Sep 07, 2012 | AHA comments urging Cahaba to rescind its draft Local Coverage Determination
- Aug 29, 2012 | AHA Comments to CMS Re: Proposed Rule for CY 2013 Hospital OPPS and ACS PPS
- Feb 29, 2012 | CMS Changes Interpretive Guidelines for Ordering Rehabilitation Services

- Jan 09, 2012 | AHA letter to MedPAC on payment recommendations for fiscal year (FY) 2013
- Dec 09, 2011 | IRF Neal-LoBiondo "Dear Colleague" Letter
- Dec 01, 2011 | New Report Confirms Declining Utilization and Increasing Acuity of Inpatient Rehabilitation Hosp...
- Nov 30, 2011 | Utilization Trends in Inpatient Rehabilitation: Update Through Q2: 2011
- Nov 21, 2011 | Inpatient Rehabilitation Facility PPS: Final Rule for Fiscal Year 2012

- Oct 18, 2011 | AHA, Health Organizations Letter to Joint Select Committee on Deficit Reduction Re: Cuts in IRF
Literature Searches
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Other Resources |
Related Rehabilitation Resources
