IRF Data Files FY2023

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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 […]

IRF Final Rule FY2023

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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 […]

ICD-10

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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 […]

IRF PPS Proposed Rule FY2023

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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, […]

CWTC [Episode 132] Med Student Documentation and OP Discontinued Surgery

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Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for twenty minutes or so every other Monday and to submit your favorite questions or comments for Coffee with […]

Physician Fee Schedule CY2022

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CMS issued the CY 2022 Medicare Physician Fee Schedule (PFS) final rule that updates payment policies, payment rates, and other provisions for services. This is a summary of key provisions, effective on or after January 1, 2022: Revises telehealth services under the Consolidated Appropriations Act, 2021; allows use of audio-only communications technology when furnishing mental health services […]

IRF PPS Proposed Rule FY2022

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On April 7, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2022. CMS is publishing this proposed rule consistent with the […]

COVID Vaccines and MMA COVID-19 Infusion Program

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Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency are found at CMS in the drug pricing section. We link to it below.  CMS has released a set of toolkits for providers, states and insurers to help the health care system prepare and assist in swiftly administering these products once […]

CMS Beneficiary Notices

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Both Medicare beneficiaries and providers have certain rights and protections related to financial liability under the Fee-for-Service (FFS) Medicare and the Medicare Advantage (MA) Programs. These financial liability and appeal rights and protections are communicated to beneficiaries through notices given by providers. Hospitals are required to deliver the Important Message from Medicare (IM), CMS-R-193 to all […]