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IRF-PAI and IRF QRP Manual

IRF-PAI & IRF QRP Manual

This page includes the current versions of the IRF-PAI, the Quality Indicator Section of the IRF-PAI Manual and associated documents. This page will be updated when

  • an update is made to these resources,
  • a newer version becomes available,
  • or important information regarding these tools needs to be communicated.

The older versions of these documents will remain available for reference in the archives section. 

Please refer to the IRF PPS webpages for additional information related to the IRF PPS requirements.

Inpatient Rehabilitation Facility (IRF) Patient Assessment Instrument (PAI)

The Inpatient Rehabilitation Facility (IRF) Patient Assessment Instrument (PAI) is the assessment instrument IRF providers use to collect patient assessment data for quality measure calculation and payment determination in accordance with the IRF QRP. Completion of the IRF-PAI is required for each Medicare Part A fee-for-service and Medicare Part C patient discharged from an inpatient rehabilitation facility. IRF-PAI V 2.0, effective October 1, 2018, is available in the Downloads section of this webpage. For more information about data collection and submission for the quality reporting program, please refer to the IRF Quality Reporting Data Submission Deadlines webpage.

Inpatient Rehabilitation Facility (IRF) Training Manual– QRP Sections

Section 4: The purpose of Section 4: Quality Indicators in the IRF Training Manual is to offer continuing guidance to IRFs regarding the collection, submission, and reporting of quality data to CMS for compliance with the IRF QRP. The current version of Section 4, the Quality Indicators section, of the IRF-PAI Training Manual V2.0 is available in the Downloads section below. This section includes information regarding data collection for the quality measures on the IRF-PAI version 2.0, effective October 1, 2018., Change tables outlining the updates between version 1.5 and version 2.0 are located below. Draft Data Submission specifications for IRF-PAI Version 2.0 can be found on the IRF-PPS Software page.

Updates

July 31, 2018

IRF-PAI V3.0 and Change table

An updated version of the IRF-PAI Version 3.0 (as finalized in the FY 2019 IRF PPS Final Rule), along with a change table describing updates, has been added to the Downloads section below. The IRF-PAI V3.0 is effective October 1, 2019. 

May 17, 2018

Now posted: Errata and IRF-PAI Training Manual Version 2.0 - Revised Section 4 (Quality Indicators)

An errata has been posted, along with a file containing the IRF-PAI Training Manual Section 4 (Quality Indicators) with revised Sections GG and M, has been posted in the Downloads section below.

May 08, 2018

Updated Section 4 (Quality Indicators) of IRF-PAI Training Manual Version 2.0

An updated version of Section 4, the Quality Indicators sections, of the IRF-PAI Training Manual version 2.0 has been added to the Downloads section below. These sections contain information regarding data collection for the quality measures on the IRF-PAI version 2.0, effective October 1, 2018.

A change table describing updates to the IRF-PAI Training Manual Version 2.0 has also been added below.

May 01, 2018

A CDC NHSN Submission Guidance document for the IRF QRP is now available in the Downloads section below. The guide includes information regarding submission requirements for the CDC/NHSN quality measures and helpful links to additional resources for NHSN.

April 27, 2018

Proposed IRF-PAI V3.0 – Effective October 1, 2019 (FY 2020)

The IRF-PAI Version 3.0 – Effective October 1, 2019 (FY 2020), as proposed in the FY 2019 IRF PPS proposed rule, and a table listing changes from the previous version can be found in the Downloads section below.

IRF-PAI and IRF QRP Manual Archives

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