Earlier this year, on May 2, 2013, the Centers for Medicare and Medicaid Services (CMS) proposed changes to the Inpatient Rehabilitation Facility (IRF) Medicare reimbursement system as well as regulatory changes for fiscal year 2014. The proposed rule included provisions to increase aggregate pay to IRFs by 2 percent, remove several codes from the presumptive compliance list for the 60 percent threshold, add three reportable quality measures, and revise the IRF Patient Assessment Instrument (IRF PAI).
On behalf of RehabCare’s nearly 110 hospital-based or freestanding IRFs, we took advantage of the 60-day comment period to submit formal comments regarding the CMS “Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014, Proposed Rule” which goes into effect on October 1, 2013.
RehabCare’s top priority in commenting is to have CMS withdraw the proposals pertaining to changing the codes allowed under the presumptive compliance methodology for the 60% classification criterion in the final rule. In our extensive and data-supported comments, we also used the opportunity to respond to several other items in the proposed rule:
We will continue to use appropriate opportunities – including comments on CMS proposed rules and in reaction to Congressional proposals and actions – to advocate on behalf of the hospital-based and freestanding IRF provider community.
RehabCare will provide updates in August when the final payment rule is issued by CMS and will also update you periodically about ongoing discussions in Congress around post-acute reform.
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