It is helpful to review patients that are admitted to IRFs in larger volumes and to place proposed changes side-by-side to determine what the effect those changes will have on your admissions. In the first table, the relative CMI weights and LOS proposed valuesare displayed. The second snapshot displays the change from 2011 regulations to the proposed rule. The boxes displayed as light red demonstrate the reductions in case weight and average LOS specific to Lower Extremity Joint Replacement patients as reflected in the 2012 proposal.
It is critical for each facility to weigh ‘payment’ against CMI and facility adjusters to define actualized payment; unique to their facility. This and historical volumes by CMG will provide some evidence of what to expect individually.
Lower Extremity Joint Replacement at a Glance:
Click on the following links to see how the 2012 proposed rule will affect the respective RIC
If you would like help in determining how your facility will be impacted by the 2012 proposed rule, please complete our online form.