Spotlight

• DRAFT New IRF-PAI Pressure Ulcer Instructions are available for download from the IRF Patient Assessment Instrument web page.

• ATTENTION:  IRF Providers
  
  Reminder - The conversion from AT&T to Verizon is currently underway. If you have not yet converted to Verizon, please access the QTSO CMSNet Information page (See Related Links Outside CMS) for the detailed Installation Guide and FAQ document. The Submission Access link is also at this site. CMS has urged all IRF providers to transition during the month of December 2011. The AT&T connection is scheduled to be unavailable after January 15, 2012, so it is extremely urgent that you act now if you have not already converted.    

  You will use your current AT&T login ID (example: IRF1234/SWB1234/CAH1234) to access the Verizon client install. Your password will equal your login id. You do not need to apply for a new ID – use your existing AT&T login ID.  Be sure that you have administrative rights on the PC before beginning the client install. Consult the FAQ document if you are not sure.
  
  The install is fairly quick and easy. CMS is sure you will find the new Verizon method faster and easier to use. If you are having problems installing the Verizon client after reading the detailed Installation Guide, you may contact the Verizon Help Desk at 888-238-2122.

  The conversion deadline is January 15th, 2012.
  Thank you for your cooperation.

• DRAFT -- IRF PAI Data Specifications (version 1.10.1) is available for download from the Software web page.
• A Clarification as to whether the post-admission physician evaluation may serve as one of the three required rehabilitation physician visits in the first week is available for download from the Coverage Requirements web page.
• CMS 1349-CN (78 FR 59256):  Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units; Correction  is available for download from the List of IRF Federal Regulations web page
• IRVEN Version 2.5 (09/15/2011) which updates the CMG grouper and the ICD-9 code lookup database, which go into effect on October 1, 2011, is available on the Software web page.
• Errata for CMG 2.60 Version 2.60 Grouper Package is available on the Software web page.
• CMG 2.60 Version 2.60 Grouper Package and IRF PAI Data Specifications (Version 1.01A, Revision 7) are available for download from the Software web page.
• FY 2012 IRF PPS Final Rule entitled Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units (76 FR 47836) is available for download from the List of IRF Federal Regulations web page.  Data files associated with this regulation are available on the Data Files web page.
• Information regarding the methodology for computing the IRF Facility-Level Adjustments is available for download from the Research web page.
• Information regarding IRF Outlier Reconciliation is available on the new Outlier Reconciliation web page.
• Information regarding the QIES Vendor Call on June 9, 2011 is available for download from the IRF Patient Assessment Instrument web page.
• FY 2012 IRF PPS Proposed Rule Files (76 FR 24214) are available for download from the Data Files web page.
• FY 2012 IRF PPS Proposed Rule for Inpatient Rehabilitation Facilities PPS (CMS 1349-P) is available for download from the List of IRF Federal Regulations web page; Proposed New IRF Patient Assessment Instrument Form, referenced in the rule, is available for download from the IRF Patient Assessment Instrument web page; Note that we anticipate posting the data files associated with the FY 2012 IRF PPS Proposed Rule for Inpatient Rehabilitation Facilities PPS (CMS 1349-P) about a week after the posting of this proposed rule.
• CMS has created a website to support Section 3004 of the Affordable Care Act, Quality Reporting for Long Term Care Hospitals, Inpatient Rehabilitation Hospitals and Hospice Programs.  Additional information is available on the Overview web page.
• CMS Help Desk Telephone Delays – The CMS Help Desk is experiencing a high volume of calls. To receive priority, please send an E-mail inquiry and include 'IRF Clinical' in the subject line.
• Appendix C-List of Comorbidities—Effective October 1, 2010 is now available for download from the Data Files web page.
• IRVEN Version 2.4 (09/08/2010) updates the CMG grouper and the ICD-9 code lookup database, which go into effect on October 1, 2010.  IRVEN Version 2.4 is available for download from the Software web page.
• CMS Help Desk Changes – Effective September 1, 2010 – The CMS Help Desk will now provide answers to questions regarding recording data on the IRF-PAI and using the Inpatient Rehabilitation Validation Entry (IRVEN) software. Contact information and coverage hours for the new CMS Help Desk are available on the Hotlines web page.
• IRF PPS Coverage Requirements November 12, 2009 National Call - Follow-up, Series 4 is available for download from the Coverage Requirements web page.
• Report to Congress: Analysis of the Classification Criteria for Inpatient Rehabilitation Facilities (IRFs) is available for download from the Research web page. This report was submitted to Congress in response to the requirements of section 115(c) of the Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007, Public Law 110—173.
• CMG 2.50 Version 2.50 Grouper Package and the IRF PAI Data Specifications (Version 1.01A, Revision 6) are available for download from the Software web page.
• Prospective Payment System for Inpatient Rehabilitation Facilities Notice for FY 2011 (CMS-1344-N) is available for download from the List of IRF Federal Regulations web page.
• IRF Legislative Payment Rate Changes, effective April 1, 2010, is available for download from the Data Files web page
• The first three in a series of follow-up information sheets to the November 12 IRF PPS Coverage Requirements National Provider call are available on the Coverage Requirements web page.
• The transcript and audio file for the November 12 IRF PPS Coverage Requirements National Provider Call is available on the Coverage Requirements web page.
• IRVEN Version 2.3 (08/31/2009) is available for download from the Software page.  The IRVEN Version 2.3 updates the CMG grouper and the ICD-9 code lookup database, which go into effect on October 1, 2009.
• IRF PPS Classification Criteria--Fiscal Intermediaries and Medicare Administrative Contractors (FI/MAC) are reminded to submit compliance review reports to CMS by the 15th day of each month. The FI/MAC will e-mail the reports to: CMSComplianceData@cms.hhs.gov and the CMS Regional Office which oversees the geographic area in which the facility is located, as well as the FI/MAC's Consortium Contractor Management Officer. Refer to the IRF Classification Criteria web page for additional information.
• IRF PAI Data Specifications (version 1.01A revision 5)--in effect on October 1, 2009 is available for download from the Software web page.
• Chapter 1, Section 110 of the Medicare Benefit Policy Manual (MBPM) explains the new IRF coverage requirements.  It can be found in the Related Links Inside CMS section below.

Downloads
There are no Downloads
Related Links Inside CMS
Chapter 1, Section 110 of the Medicare Benefit Policy Manual (MBPM)
Related Links Outside CMS
QTSO CMSNet Information Federal Register Online

ATTENTION: IRF Providers

Page Last Modified: 01/31/2012 1:38:39 PM
Help with File Formats and Plug-Ins