Its that time of year again time to hit the refresh button on the CPT© code set. Ever year on January 1st we get a refreshed code set– one that’s has been refurbished to better reflect current medical procedures and new innovations. With a healthcare system constantly evolves, expanding and modernizing it is important that […]
This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2024. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates […]
On August 1, 2023, CMS issued a Final Rule for fiscal year 2024 for the Medicare Program This Rule will be published on August 28, 2023 in the Federal Register. A preliminary copy is available here. This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of […]
When a physician or physical therapist takes vacation or family leave a gap is present in his or her place. In some circumstances, CMS allows substitutions, called Locum Tenens, to fill the gap. A Locum temporarily fills in for another provider, helping to fill the gap left behind. While Locums are commonly used across the […]
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Download the data files described below via this link: associated file(s) (ZIP) IRF Wage Index – These files contain the final urban and rural Core-Based Statistical Area FY 2023 IRF wage index tables. IRF Rate Setting Rule – This file contains data for each of the 1,118 inpatient rehabilitation facilities used to estimate the final policy updates in the […]
This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2023. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates […]
2023 ICD-10-CM (CMS) 2023 Conversion Table (ZIP) 2023 Code Descriptions in Tabular Order (ZIP) 2023 Addendum (ZIP) 2023 Code Tables, Tabular and Index (ZIP) FY 2023 ICD-10-CM Coding Guidelines (PDF) POA Exempt Codes (ZIP) 2023 ICD-10-PCS 2023 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) 2023 Official ICD-10-PCS Coding Guidelines (PDF) 2023 Version Update Summary […]
For FY 2023, CMS is proposing to update the IRF PPS payment rates based on the proposed IRF market basket update less a productivity adjustment. CMS is proposing a permanent cap on year-to-year wage index decreases. Additionally, CMS is soliciting comments on the methodology used to update the IRF facility level adjustments (specifically, the rural, […]