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04/08/24

FY 2025 IRF Proposed Rule Released

On March 27, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2025 Inpatient Rehabilitation Facility (IRF) proposed rule. To read a summary of the proposed rule, click HERE. To read the entire proposed rule, click HERE.

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08/02/23

CMS Releases FY 2024 IRF Final Rule

On July 27, 2024, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2024 Inpatient Rehabilitation Facility (IRF) final rule. To access the final rule, click HERE. To access the Fact Sheet on the FY 2024 final rule, click HERE.

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05/22/23

CMS to Begin Reviews on Inpatient Rehabilitation Facility Claims

The Centers for Medicare and Medicaid Services (CMS) is initiating the Review Choice Demonstration (RCD) program for Inpatient Rehabilitation Facilities (IRFs). In this article, I will provide answers to the following questions:

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04/06/23

CMS Releases FY 2024 IRF and SNF Proposed Rules

The Centers for Medicare and Medicaid Services has released the fiscal year (FY) 2024 proposed rules for inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs). To access the CMS Fact Sheet on each of the proposed rules, click on the applicable link below. Within each Fact Sheet will be a link to access the proposed rule on the Federal Register website. Inpatient Rehabilitation Facility Fact Sheet Skilled Nursing Facility Fact Sheet

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04/11/22

CMS Releases IRF FY 2023 Proposed Rule

On March 31, 2022, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2023 proposed rule for Inpatient Rehabilitation Facilities. The proposed rule was published on April 6, 2022 and CMS is accepting comments on the proposed rule until 5:00pm on May 31, 2022. To access the proposed rule, click

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04/07/21

CMS Issues FY 2022 IRF Proposed Rule

On April 7, 2021, the Centers for Medicare and Medicaid Services released the fiscal year (FY) 2022 Inpatient Rehabilitation Facility (IRF) proposed rule. Comments will be accepted on the proposed rule until 5:00pm on June 7, 2021. The proposed rule is schedule to be published in the Federal Register on April 12, 2021. Highlights of the proposed rule include the following: CMS is proposing to update the IRF PPS payment rates by 2.2% For the Quality Reporting Program, CMS is proposing to add 1 measure and update the specifications for another measure CMS is proposing the adoption of the COVID-19 Vaccination Coverage among

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11/16/20

Can Students Treat Medicare Patients and Bill For Those Services?

I am often asked if the time a student treats a Medicare patient for physical, occupational and/or speech therapy services, is that time billable to the Medicare program? In this article, I will answer this question as it applies to inpatient acute care, inpatient rehabilitation facilities, skilled nursing facilities providing Part A therapy services and outpatient therapy settings. QuestionIn the Inpatient Rehabilitation Facility (IRF) setting, do the minutes of therapy provided by the student therapist count towards the required 3-hours of therapy at least 5 days per week? Answer QuestionIn the inpatient hospital acute care setting, can therapy students treat

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08/04/20

CMS Releases FY 2021 IRF Final Rule

On August 4, 2020, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2021 Final Rule for Inpatient Rehabilitation Facilities (IRFs). Highlights of the final rule include: Permanent elimination of the post-admission physician evaluation effective October 1, 2020 CMS is finalizing that a non-physician practitioner (NPP) may perform one of the three required visits in lieu of the physician in the second and later weeks of a patient’s care, when consistent with the NPP’s state scope of practice Overall IRF payment update for FY 2021 of 2.8% To access the Final Rule, click HERE. To access

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