In response to inquiries from the provider community, the Center for Medicare & MediCal Services (CMS) has posted to its website a transcript of their November 12 provider conference call regarding changes to the Medicare Benefit Policy Manual (MBPM) and new requirements for the inpatient rehabilitation facilities prospective payment system (IRF PPS). In addition, CMS has posted three additional documents based on “Frequently Asked Questions” (FAQs) received from IRFs across the country.
The communications were developed to provide additional clarifications to inpatient rehabilitation facilities (IRFs) regarding changes to medical necessity criteria and documentation requirements. The changes went into effect for discharges occurring after Janaury 1, 2010.
Copies of materials from the provider conference call and the “FAQ” documents may be downloaded below, or may be accessed at the CMS website at: www.cms.hhs.gov/InpatientRehabFacPPS/04_Coverage.asp#TopOfPage