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Accurately Complete FIM Scoring and IRF-PAI Submissions

Written by: Mediware Bloggers on Friday, July 14, 2017 Posted in: Inpatient Rehab

interdisciplinary plan of care

When the Centers for Medicare & Medicaid Services (CMS) rewrote the IRF-PAI assessment in 2016, it nearly doubled in length and included new types of questions with which most therapists were unfamiliar. Unfortunately, many IRFs have found that their electronic medical records (EMR) vendors were ill-equipped for the change because neither the proper modifications to the systems nor adequate training were provided in a timely fashion.

In addition, the documentation system in your EMR lacks the workflows and safeguards the IRF-PAI demands. As a result, many IRFs utilize subjective scoring methods performed on a therapist-by-therapist basis. Relying on a holistic judgement of each patient’s functional status, rather than a numerical scoring system outlined in the IRF-PAI, creates inconsistencies and inaccuracies that could create barriers to payment.

In other words, your EMR offers no reliable way to ensure that the score is based on the scoring criteria rather than the clinician’s overall experience and judgment. The resulting scores are objective, varied, and inconsistent, which is likely to lead to lower reimbursements.

With each update, the IRF-PAI becomes longer and more complicated. Modernize your workflows and stay ahead of the curve with MediLinks IRF Management. With processes designed specifically for the intricacies of IRFs, you can assess and document patients in a consistent and uniform way. Learn more at

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