CHA News Article

CMS Issues IRF PPS Proposed Rule for FFY 2014

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system (PPS) for federal fiscal year (FFY) 2014. Overall, CMS estimates that payments to IRFs will increase 2 percent, or approximately $150 million. The new rates will apply to services furnished to Medicare beneficiaries during FFY 2014, beginning with discharges on or after Oct. 1, 2013. CMS also proposes to remove a number of diagnosis codes from the list used to determine a facility’s presumptive compliance with the “60 percent rule.” In addition, the proposed rule includes three new measures for the quality reporting program: 1) Percentage of patients who were assessed and appropriately given the seasonal influenza vaccine; 2) Influenza vaccination coverage among health care personnel; and 3) An all-cause unplanned readmission measure for 30 days post discharge. Revisions to the IRF patient assessment instrument (IRF-PAI) to reflect new quality measure reporting requirements are also proposed. CHA will issue a more detailed summary, including facility-specific DataSuite reports, of the proposed rule in the coming weeks. CHA will also work with members to develop comments, which are due by July 1. The proposed rule is attached and will appear in the May 8 Federal Register.