Spotlight

• The jIRVEN 1.0.0 (Inpatient Rehabilitation Validation and Entry System) and the jIRVEN Migration Tool v.1.1.3 are available on the Software web page.
• Clarification Regarding the Use of Electronic Systems to Complete the Preadmission Screening Requirement is available on the Coverage Requirements web page.
• FY 2013 IRF PPS Notice Data Files (77 FR 44618) are available on the Data Files web page.
• IRF Quality Reporting Program - Updates to the Inpatient Rehabilitation Facility Quality Reporting Program published Monday, July 30, 2012 in the Federal Register.  Please see the proposed rule,  Hospital Outpatient Prospective and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Electronic Reporting Pilot; Inpatient Rehabilitation Facilities Quality Reporting Program; Quality Improvement Organization Regulations (77 FR 45061)
• CMS 1433-N:  Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2013 is on public display at the Office of the Federal Register.   The addendum to the notice:  FY 2013 Wage Index for Urban and Rural Areas Based on CBSA Labor Market Areas

• Due to the absence of submitted questions and comments related to the IRF PAI Technical Submission Specifications, the  CMS IRF Vendor Call scheduled for July 12, 2012  from 2:00-3:00 p.m. (ET) has been cancelled. Vendors and software developers should submit technical questions to  IRFTECHIssues@cms.hhs.gov.

• Audio and written transcript of the May 31, 2012 National Provider Call is available on the Coverage Requirements web page.
• CMS will host an IRF-PAI Informational call for IRF-PAI software vendors and developers on Thursday, July 12, 2012.  Further details are available on the Technical Information web page.
• The IRF-PAI free, downloadable software, jIRVEN (Inpatient Rehabilitation Validation and Entry system), will be made available for download from the Software web page in the late summer, 2012.  
• CMS intends to provide training specific to IRF-PAI data submission and data submission reports, in addition to jIRVEN user tool-related training, in the late summer, 2012.  Additional information related to these trainings will be forthcoming on the Software web page.  
• The Final IRF-PAI Data Submission Specifications (version 1.10.1), effective October 1, 2012, is available for download from the Software web page.
• An updated version of the IRF-PAI Manual (effective 10/01/2012), new IRF-PAI Form (effective 10/01/2012), System of Records Notice (published in the Federal Register on November 20, 2006), and updated IRF Data Submission User’s Guide (as of September, 2004) are available for download from the IRF Patient Assessment Instrument 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.
• 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.
• 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.
• 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.
• 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.
• Chapter 1, Section 110 of the Medicare Benefit Policy Manual (MBPM) explains the IRF coverage requirements.  It can be found in the Related Links Inside CMS section below.