In early January of this year, CMS held a provider call to discuss the newest sections of the IRF PAI that will be utilized Oct. 1, 2015. In the previous Rule, they provided a draft version of the IRF PAI so that facilities and software vendors would have sufficient time to roll out the changes. Two new sections that were covered in the call were the definitions and discussions around the new Therapy Mode section and how the care is delivered to patients within the first 2 weeks of their stay with 4 new designations of contact time, and the arthritic condition section that facilities may want to count toward conditional compliance to the 60% rule.
Those on the January provider call had lively discussions with CMS requiring deferred final decisions to a clarification document that is now published at the Inpatient Rehabilitation PPS section of their website. Let\'s discuss these two new items and those published clarifications.