CMS Hosting IRF Quality Training on May 12: This day-long training is specific to the new Quality Indicator Section items of the 2014 IRF-PAI version 1.2, and to reporting of the Health Care Worker Influenza Vaccination data. Options to participate are in person, by live web stream, or download and view at your own convenience. Registration for on-site attendance at the CMS complex will be open until 11:50 PM ET on Monday May 5, 2014. See the announcement for more details.
Access to Medical Care for Persons with Mobility Disabilities, a guide to help health care providers understand the Americans with Disabilities Act and Section 504 of the Rehabilitation Act.
Rehab Hospitals Retooling, Joe Cantlupe for HealthLeaders Media, April 25, 2011
CMS has also posted the long-awaited IRF Report to Congress: Analysis of the Classification Criteria for Inpatient Rehabilitation Facilities. In 2007, Congress directed CMS to develop a Report to Congress providing an analysis of Medicare beneficiaries' access to medically necessary rehabilitation services, including the potential effect of the 75 percent rule (now known as the "60 percent rule") on access to care; on alternatives or refinements to the "60 percent rule" policy for determining criteria for inpatient rehabilitation hospital or unit designation under the Medicare program; and an analysis of the conditions for which individuals are commonly admitted to inpatient rehabilitation hospitals that are not included as a condition formerly described in section 412.23(b)(2)(iii) (redesignated as 412.23(b)(2)(ii) in the FY 2009 IRF PPS final rule (73 FR 46370 at 46391 through 46392)) of title 42, Code of Federal Regulations, to determine the appropriate setting of care, and any variation in patient outcomes and costs, across settings of care, for treatment of such conditions. This report, which was prepared by the Research Triangle Institute International under contract with CMS, has been submitted to Congress in response to the requirements of section 115(c) of the MMSEA. It is accessible on the CMS IRF PPS web site in the research section at http://www.cms.gov/InpatientRehabFacPPS/09_Research.asp#TopOfPage.
CMS Special Open Door Forum on August 19: Developing Outpatient Therapy Payment Alternatives (DOTPA)
CMS and its data collection contractor, RTI International, explained the critical role of providers in this research. Medicare is now actively seeking providers to participate as data collection sites. An audio recording and transcript of this Special ODF is posted to the Special ODF website at http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp.
News Summary: Large Multi-center Study on Joint Replacement Rehabilitation Finds that Hospital-based Rehabilitation Centers Provide Modestly Better Outcomes,
Study's Medium-volume Skilled Nursing Facilities also Perform Well (September 2, 2009)
OIG report: Review of Interrupted Stays at Inpatient Rehabilitation Facilities. This report estimates that Medicare overpaid IRFs by $4.2 million for incorrectly billed interrupted stays during 2004 and 2005 and recommends recovery of these payments. (April 2009)
American Academy of Physical Medicine & Rehabilitation Medical Inpatient Rehabilitation Criteria Task Force recommendations for assessing medical appropriateness criteria for admission to rehabilitation hospitals or units