Inpatient rehab facilities will get a 2.9% pay increase in CMS proposed rule

Inpatient rehabilitation amenities are getting a payment improve of two.9% for 2021.

Since of the COVID-19 community well being emergency, the Facilities for Medicare and Medicaid Solutions in its proposed rule has confined the yearly rulemaking to payment and critical procedures.

CMS is proposing updates to the payment costs making use of the most the latest facts to reflect an believed two.5% improve factor. This is the inpatient rehabilitation facility industry basket improve factor of two.9%, reduced by a .4% multifactor productivity adjustment.

On the other hand, an further .4% improve to aggregate payments — thanks to updating the outlier threshold to keep believed outlier payments at 3% of total payments — results in an all round update of two.9%, or $270 million. 

CMS is also proposing to undertake the most the latest Workplace of Management and Spending budget statistical space delineations and utilize a 5% cap on wage index decreases from 2020 to 2021.

In a further go to simplicity doctor burden, CMS is proposing to let non-doctor practitioners to complete any of the inpatient rehabilitation facility protection provider and documentation obligations that are at this time expected to be carried out by a rehabilitation doctor.

IRFs are usually expected to perform a put up-admission doctor evaluation in just the first 24 hours of the patient’s admission to verify that no improvements have transpired because the preadmission screening, and that the client is even now correct for admission to an inpatient rehabilitation facility.

CMS is proposing to no extended involve a put up-admission doctor evaluation because the put up-admission evaluation handles significantly of the very same data and proceeds to be incorporated in the pre-admission screening of the client and the patient’s strategy of care.  

IRFs, in session with the patient’s doctor or other treating clinician, would even now have the versatility to perform client visits in just the first 24 hours of an admission if the patient’s situation warrants it.

CMS is proposing no improvements to the inpatient rehabilitation facility excellent reporting program.


Due to the COVID-19 community well being emergency, healthcare suppliers have confined capability to review and supply feedback on intensive proposals, CMS claimed.

CMS is also soliciting feedback from stakeholders on additional strategies to lessen company burden, as perfectly as on proposals to codify subregulatory assistance on preadmission screening documentation and specified other IRF protection necessities.

CMS will acknowledge feedback until finally June 15.

THE More substantial Craze

CMS has recently issued an array of short-term regulatory waivers and new procedures to give suppliers highest versatility to react to the COVID-19 pandemic.

This contains waiving the sixty% rule that needs each and every IRF to discharge at the very least sixty% of its people with a person of 13 qualifying circumstances.

New versatility also allows the expected face-to-face doctor visits in IRFs to be finished making use of telehealth.

The IRH proposed rule is a person of five proposed Medicare payment procedures produced in a fiscal year cycle to determine payment and policy for inpatient hospitals, extended-time period care hospitals, inpatient rehabilitation amenities, inpatient psychiatric amenities, expert nursing amenities and hospices.

Twitter: @SusanJMorse
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