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The fiscal year (FY) 2010 Final Rule for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) (CMS 1538-F) implements new IRF coverage requirements that take effect for all Medicare IRF discharges occurring on or after January 1, 2010. A copy of this rule is available for download from the List of IRF Federal Regulations web page. In addition, Chapter 1, §110 of the Medicare Benefit Policy Manual (MBPM, CMS Pub. 100-02) provides additional guidance on these new regulations. The new IRF coverage requirements replace coverage criteria that were over 25 years old and did not reflect Medicare's current payment structures or current medical best practices. To update these policies, CMS used an internal workgroup consisting of general physicians, physiatrists, and therapists. The workgroup enlisted the advice of Medical Directors from CMS/the Department of Health and Human Services, several fiscal intermediaries, qualified independent contractors, and the National Institutes of Health. The workgroup also considered comments received from industry groups in response to the FY 2009 IRF PPS proposed rule (73 FR 22674) and in response to industry input solicited by CMS contractors who prepared the IRF Report to Congress mandated by section 115(c)(1) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), Public Law 110-173. - A follow-up information sheet is available below to assist providers in structuring their processes to satisfy the new requirements.
- The presentation material for the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Contractor and Regional Office Call with Question and Answer Session on November 2, 2009 and the IRF PPS National Provider Call with Question and Answer Session on November 12, 2009 is available for download below.
Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) National Provider Call with Question and Answer Session The Centers for Medicare and Medicaid Services (CMS) Provider Communications Group will host a national provider conference call on IRF PPS coverage requirements based on the fiscal year 2010 final rule. This toll-free call will take place from 2:00 p.m. – 4:00 p.m., ET, on Thursday November 12, 2009. Following the presentation, the lines will be opened to allow participants to ask questions of CMS IRF PPS subject matter experts. Presentation material is available for you to download prior to the call so that you can follow along with the presenter. In order to receive the call-in information, you must register for the call. It is important to note that if you are planning to sit in with a group, only one person needs to register to receive the call-in data. This registration is solely to reserve a phone line, NOT to allow participation. Registration will close at 2:00 p.m. ET on November 11, 2009, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time. - To register for the call participants need to go to: http://www.eventsvc.com/palmettogba/111209
- Fill in all required data.
- Please provide any questions you may have in the space provided.
- Verify that your time zone is displayed correctly in the drop down box.
- Click "Register".
- You will be taken to the "Thank you for registering" page and will receive a confirmation e-mail shortly thereafter. Note: Please print and save the "Thank you for registering" page, in the event that your server blocks the confirmation e-mails. If you do not receive the confirmation e-mail, please check your spam/junk mail filter as it may have been directed there.
CMS plans to post Q&As from this call, as appropriate, to this website after the call. If you require services for the hearing impaired, please send an e-mail to Medicare.TTT@PalmettoGBA.com.
Page Last Modified: 10/28/2009 4:43:57 PM
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