Students Treating in the IRF Setting

November 19, 2018
Rick Gawenda

Last week, the Centers for Medicare and Medicaid Services (CMS) held a conference call on the Inpatient Rehabilitation Facility (IRF) Payment and Coverage Policies. During the phone call, the presenter stated that according to hospital conditions of participation that IRFs must meet, students do not have a role in providing therapy or therapy minutes to patients, even under direct supervision of the licensed therapist.

The presenter cited

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  1. What about acute inpatient care. For ono-IRF billing that is really just a DRG payment can students bill? Historically we all know once students meet competency we let them treat on their own without direct / line of site supervision…supervision is generally throughout the day and co-signing

    1. This article only addresses what CMS mentioned about the IRF setting. CMS did not address acute care inpatient during that call.

  2. Outside of the call, how does CMS interpret billing on the acute side considering it is DRG based.