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Inpatient Rehabilitation Facility PPS

IRF Program Transmittals

The list below shows the transmittals that are directed to the Inpatient Rehabilitation Facility PPS provider community, but the list may not include all instructions for which Inpatient Rehabilitation Facility PPS providers are responsible. For a list of all instructions, view the Transmittals web page under Regulations and Guidance.

File Date Subject
Transmittal 680 09/16/2005 CR 4037 - Inpatient Rehabilitation Facility Annual Update: PPS Pricer Changes for FY 2006
Transmittal 392 12/10/2004 CR 3567 - The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
Transmittal 347 10/29/2004 CR 3503 - Inpatient Rehabilitation Facility (IRF) Classification Requirements
Transmittal 263 07/30/2004 CR 3378 - Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2005
Transmittal 207 06/18/2004 CR 3309 - Expansion of Policy Where Patient is a Member of a Medicare Advantage (MA) Organization For Only a Portion of the Billing Period to Include Inpatient Rehabilitation Facilities (IRF) and Long Term Care Hospitals (LTCH)
Transmittal 221 06/25/2004 CR 3334 - Medicare IRF Classification Requirements
Transmittal 39 12/08/2003 CR 2978 - Updated data for determining additional payment amounts for the low-income patient adjustment applicable for facilities subject to the IRF PPS
Transmittal A-01-92 07/31/2001 CR 1657 - Instructions for Implementing the IRF PPS
Transmittal A-01-110 09/14/2001 CR 1851 - Instructions for Implementing the IRF PPS: Revision and Modification of Transmittal A-01-92
Transmittal A-01-146 12/21/2001 CR 2003 - IRF PPS Revenue Code File Update
Transmittal A-02-058 N/A CR 2250 - IRF Annual Update: Prospective Payment System Pricer Changes for FY 2003
Transmittal A-00-91 11/30/2000 CR 1343 - This PM is informational only. Specific contractor claims processing instructions will follow
Transmittal 478 02/18/2005 CR 3704 - Clarification of the Verification Process to be Used to Determine if the IRF Meets...
Transmittal 938 05/05/2006 CR 5016 - Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
Transmittal 1053 10/02/2006 CR 5273 - Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2007
Transmittal 1099 11/02/2006 CR 5354 - New Edits Established to Enforce Proper Transfer Coding and Payment in Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims
Transmittal 1137 12/22/2006 CR 5325 - Inpatient Rehabilitation Facility (IRF) Teaching Status Adjustment
Transmittal 1135 12/22/2006 CR 5303 - Correction of Instructions for Calculating IRF Compliance Percentage Threshold
6699 01/15/2010 Coverage of Inpatient Rehabilitation Services
6166 09/05/2008 Inpatient Rehabilitation Facility Annual Update: Prospective Payment System Pricer Changes for FY 2009
7150 01/21/2011 Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs): Phase III
7019 07/30/2010 Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPS)
7029 07/15/2010 Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA)
7029 07/08/2010 Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA)
5846 12/14/2007 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2006 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
7076 08/13/2010 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2011
6607 08/28/2009 Inpatient Rehabilitation Facility Annual Update: Prospective Payment system Pricer Changes for FY2010
5694 08/24/2007 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2008
7088 08/13/2010 Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs)
5965 03/14/2008 April 2008 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Pricer Changes
6002 07/25/2008 Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change
All 2009 Transmittals 01/01/2009 All Inpatient Rehabilitation Facility PPS related Transmittals issued in 2009
Transmittal A-01-131 11/01/2001 CR 1921 -Additional instructions for implementing the IRFPPS
Transmittal 1479 03/14/2008 April 2008 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Pricer Changes
5597 06/29/2007 IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates
7122 10/28/2010 Processing Claims Spanning More than Ten Years with Unlimited Occurrences Span Codes (OSCs): Phase II
7163 11/12/2010 Update to the Frequency Billing Requirements
Transmittal 619 01/03/2006 CR 3885 - Late IRF-PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System
5597 07/13/2007 IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates
7192 12/03/2010 Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS
7151 05/13/2011 Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs): Final Completion
7609 10/26/2011 Inpatient Rehabilitation Facility (IRF) and Inpatient Psychiatric Facility (IPF) Cost-to-Charge Ratios (CCRs)
7464 06/17/2011 Revision to Formula to Compute the Time Value of Money under the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF PPS), Inpatient Psychiatric Facility (IPF PPS) and Long Term Care Hospital (LTCH PPS)
7674 01/25/2012 Inpatient Rehabilitation Facility (IRF) No-Pay Billing for Medicare Advantage (MA) Patients Update
7760 2012-04-27 Systematic Validation of Payment Group Codes for Prospective Payment Systems(PPS) Based on Patient Assessments
7760 2012-07-18 Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Asssessment.
7901 2012-08-10 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2013.
7849 2012-11-02 Payment System (IPPS) Hospital Admission
8078 2012-11-02 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
CR8127 2013-01-18 Manual Updates of Clarify IRF Claims Processing
8046 2013-01-31 Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List
8127 2013-03-15 Manual Updates to Clarify IRF Claims Processing
8078 2013-03-21 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)