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Comment On the IRH/U Proposed Rule- it is Your Prerogative!

Written by: Darlene D'Altorio-Jones (1959-2015) on Tuesday, May 12, 2015 Posted in: Inpatient Rehab

Each year, as CMS lays out the proposed changes for inpatient rehabilitation hospital/unit rules, Mediware reviews those proposals and provides a review on how they may impact your book of business. Since proposed rules are specifically published to enable COMMENT to occur and possible changes before a ruling is made final, it’s important for you and your staff to take a look at what may be ahead and to comment specifically to CMS on your recommendations.

Rules are often long and are filled with reiterations of historical information on how the present decision is being made. This years proposed inpatient rehablitation hospital/unit rule is 230 pages. In this inservice, we will present the following for your understanding:

  • Appreciate changes made from 2015 to 2016 (i.e. federal payment formula update factors and weights, change in Core Based Statistical Areas (CBSA), impact of the ‘payment neutral’ case mix weights and average length of stay updates).
  • Prepare for ICD-10 conversion with the implementation date of  Oct. 1, 2015.
  • Be introduced to as well as understand the IRF PAI for FY 2016 and 2017, and be ready to implement quality data tracking required to align with the ‘IMPACT ACT of 2014’ federal mandates.
  • Gain knowledge of links, education and resources to enable comments and prepare for implementation of the IRF 2016 Prospective Payment System.

After previewing this information, it is possible you may want to comment to CMS as well. Join us for the review as we encourage you to exercise your prerogative in commenting prior to the deadline so that the final rule considers your input for change.

You may submit electronic comments on the proposed regulation to Be sure to follow the ‘submit a comment’ instructions  so they acknowledge comments are specific to CMS-1624-P

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