CHA News Article

CMS Issues IRF PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) has issued the final rule for the inpatient rehabilitation facility (IRF) prospective payment system for federal fiscal year (FFY) 2015. Provisions of the final rule go into effect Oct. 1, 2014.

Under the provisions of the IRF final rule, CMS estimates that payments to IRFs will increase by 2.4 percent. CMS finalizes revisions to comorbidity, impairment group code and etiologic portions of the presumptive compliance methodology to be consistent with changes implemented in the FFY 2014 final rule, but delays the effective date for changes to the presumptive compliance methodology to a compliance period beginning on or after Oct. 1, 2015.

CMS also revises and finalizes a proposal to add a new item to the inpatient rehabilitation facility patient assessment instrument (IRF-PAI) to record therapy mode (i.e., individual, group, concurrent, co-treatment) by discipline. This new reporting requirement will become effective for IRF discharges occurring on or after October 2015.

Other changes included in the final rule are the addition of a new IRF-PAI indicator for arthritis diagnosis codes and changes to the IRF quality reporting program.

CHA will issue detailed summaries of the final rule in the coming weeks. A copy of the final rule, which will appear in the Federal Register on Aug. 6, 2014, is attached.