IRF versus SNF

A study assessing the outcomes of patients who were treated in inpatient rehabilitation facilities (IRFs) with clinically and demographically similar patients who received their post-acute rehabilitation in skilled nursing facilities (SNFs) finds that IRFs provide better care to their patients over a number of outcome measures – IRF patients live longer, spend more days at…

CMS Releases FY 2015 IRF Final Rule

On August 6, 2014, the Centers for Medicare and Medicaid Services (CMS) issued Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015; Final Rule. Inpatient Rehabilitation Facilities (IRFs) will receive a 2.2% increase in their FY 2015 payments compared to FY 2014. The final rule discusses revisions to the 60 Percent…

CMS Releases FY 2015 SNF Final Rule

On August 5, 2014, the Centers for Medicare and Medicaid Services (CMS) issued Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2015; Final Rule. Payments to skilled nursing facilities (SNFs) will increase by 2% in FY 2015. This translates to an estimated additional $750 million compared to FY 2014.…

RACs to Resume Reviews

On August 4, 2014, the Centers for Medicare and Medicaid Services (CMS) announced that due to the continued delay in awarding new Recovery Auditor contracts, the CMS is initiating contract modifications to the current Recovery Auditor contracts to allow the Recovery Auditors to restart some reviews. Most reviews will be done on an automated basis,…

Documenting Therapy and Rehabilitation Services

The CERT A/B MAC Outreach & Education Task Force, a partnership of all A/B Medicare Administrative Contractors, has created a guide to educate providers on common documentation errors for outpatient rehabilitation therapy services. These widespread errors contribute to Medicare’s national payment error rate, as measured by the Comprehensive Error Rate Testing (CERT) program. The guide…