This Final Rule revises and updates payment rates, quality measures and reporting requirements. It includes explanations of the methods used to make these changes. Read the IRF PPS Final Rule in the Federal Register for August 5, 2016 Data Files are available on this page at CMS.gov
Transmittals for Chapter 1 Part 1 (Sections 10 – 80.12) Transmittals for Chapter 1 Part 2 (Sections 90 – 160.26) Transmittals for Chapter 1 Part 3 (Sections 170 – 190.34) Transmittals for Chapter 1 Part 4 (Sections 200 – 310.1) Crosswalk from NCD Manual to Coverage Issues Manual (CIM) [PDF, 447KB] Crosswalk […]
Links to all Chapters and Crosswalks. The Internet-only Manuals (IOMs) are a replica of the Agency’s official record copy. They are CMS’ program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the […]
According to the Medicare Benefits Policy Manual, Chapter 6, section 20.6 (Rev. 215, Issued, 12-18-15, Effective, 01-01-16, Implementation: 01-04-16) Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment before a decision can be made regarding whether patients will require further treatment as hospital inpatients […]
Acronyms in the IRF Setting
UPDATED March, 2015: Form Version 02/12 will replace the current CMS 1500 claim form, 08/05, effective with claims received on and after April 1, 2014: Medicare will begin accepting claims on the revised form, 02/12, on January 6, 2014; Medicare will continue to accept claims on the old form, 08/05, through March 31, 2014; On […]
A white paper is available from AQ-IQ regarding the new modifiers effective January 1, 2014. Download it here.
This checklist is produced by the CDC. Additional information is available on the CDC site.
Some great questions were presented from the audience when Paula Digby was a guest on “Finally Friday” this Summer. Visit our eCourse Library to review the complete presentation.