3 Hour Rule continues to be a main defining factor that CMS has set as the 'threshold' to determine if the patient in an IRF/U receives an intensity of therapy services specific to an acute rehabilitation level of necessity. In this blog, respondents to a 3 Hour Rule survey share information and details on the 3 Hour Rule as operationalized in their facilities.
Mediware Rehabilitation Blog
Why is it important you review this bill? What affects you, the rehabilitation provider? Let me carve out just a few of the sections that impact you TODAY, perhaps in the same way as yesterday or slightly different!
indications have all prepared us to accept Oct. 1, 2014 – AMAZINGLY Congress pulls another possible lame duck intervention in a fast tracked bill that includes SGR fix and Therapy Caps extensions AND a possible delay to ICD-10 coding! To everyone’s surprise, even the moderator of our March 26th webinar as she was speaking the present known facts for ICD-10 implementation, Congress was conjuring up a delay extension language for to Oct. 1, 2015. CAN IT HAPPEN? The next few days and congressional actions alone will tell!
Improving Medicare Post Acute Care Transformation = IMPACT Act of 2014
You will want to know about this Act because it will provide you with the time line for when the standardized PAC assessment tool will be initiated!
To so many, the coding requirements and all their nuances are a mystery when attempting to educate acute care coders on the specific rules for an exempt IRF/U. In addition, there is turnover and new learning that must occur for IRF-PAI Coordinators, liaisons, physicians and all staff that contribute to the documentation within an IRF. The coding of the IRF-PAI and the coding on the billing document have some similarities and some very disparate rules.
We encourage you to follow this link as we discuss some highlights from the inservice.
Typically, investing in technology involves acquiring an electronic information system to capture, record, document and report the elements of patient care to justify what was done to the patient. These “systems” are software and depending upon the provider’s care setting, are referred to as Electronic Health Records (EHR) or Electronic Medical Records (EMR) and, as President George W. Bush predicted, all physicians, providers and hospitals should by now have one. The associated costs of developing, acquiring and using this technology are high and have slowed the realization of Bush's objective.
As promised, now that everyone has had more than a few months to experience the workflow, the lessons learned and the best information on how to avoid G-code denials; it's time to circle back for more survey comments!