Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Spotlights & Announcements

Now available! Our new Provider Data Catalog makes it easier for you to search and download publicly reported data. We’ve also improved Medicare’s Compare sites.

Find program guidance and information about our response to COVID-19 here: COVID-19 Updates.

Updates

May 19, 2023

NEW RESOURCE AVAILABLE: J0510-J0530 Pain Interview Explainer Video

A brief explainer video, J0510-J0530 Pain Interview: Understanding How a Patient Communicates Pain is now available for IRF Providers. This resource can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

May 4, 2023

Reminder of Upcoming Data Submission Deadline

The submission deadline for the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) is approaching. IRF Patient Assessment Instrument (IRF-PAI) assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for October 1 – December 31 (Q4) of calendar year (CY) 2022 are due with this submission deadline. The annual NHSN measure Influenza Vaccination among Healthcare Personnel is also due with this deadline.

All data must be submitted no later than 11:59 p.m. on May 15, 2023.

It is recommended that the applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.

View the list of measures required for this deadline in the Downloads section on the IRF Quality Reporting Data Submission Deadlines web page.

For submission information, visit:

Swingtech sends informational messages to IRFs that are not meeting Annual Increase Factor (AIF) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.

April 3, 2023

Inpatient Rehabilitation Facility (IRF) Prospective Payment system (PPS) and Updates to the Quality Reporting Program (QRP) for FY 2024 (CMS-1781-P)

On April 3, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1781-P) that provides proposals for the fiscal year (FY) 2024 Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP). This rule includes two new measure proposals, one measure modification proposal, and three measure removal proposals.  The new measure proposals include the Discharge Function Score measure and the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date measure. CMS is also proposing to modify the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure to report the number of HCP who are up to date with recommended COVID-19 vaccinations per the latest CDC guidance. In addition, CMS is proposing the removal of three measures including the Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function; the IRF Functional Outcome Measures: Change in Self-Care Score for Medical Rehabilitation Patients measure; and the IRF Functional Outcome Measures: Change in Mobility Score for Medical Rehabilitation Patients measure.  We are also proposing to begin the public reporting of the Transfer of Health Information to the Patient-Post-Acute Care (PAC) and Transfer of Health Information to the Provider-PAC measures. Finally, we are seeking information on principles for selecting and prioritizing IRF QRP quality measures and concepts and providing an update on CMS’ continued efforts to close the health equity gap.

The proposed rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection

March 30, 2023

Care Compare March Refresh of IRF QRP Data – Now Available

The March 2023 Refresh of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the IRF QRP Public Reporting website.

March 21, 2023

NEW RESOURCE AVAILABLE: BIMS, PHQ-2 to 9, and Pain Interview Cue Cards

This resource can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

March 20, 2023

NEW RESOURCE AVAILABLE: Transfer of Health Items Explainer Video

This resource can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

March 20, 2023

UPDATED RESOURCE AVAILABLE: Video Tutorial: GG0170C. Lying to Sitting on Side of Bed

This resource can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

March 16, 2023

IRF Provider Preview Reports – Now Available

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the June 2023 refresh.

For more information, please visit the CMS IRF QRP Public Reporting website.

March 15, 2023

CMS IRF-PAI Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&A document can be accessed via the Downloads section of the IRF-PAI and IRF-PAI Manual webpage.

February 10, 2023

Reminder of Upcoming Data Submission Deadline

The submission deadline for the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) is approaching. IRF Patient Assessment Instrument (IRF-PAI) assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for July 1 – September 30 (Q3) of CY 2022 is due with this submission deadline.

All data must be submitted no later than 11:59 p.m. on February 15, 2023.

It is recommended that the applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.

View the list of measures required for this deadline in the Downloads section on the IRF Quality Reporting Data Submission Deadlines web page.

For submission information, visit:

Swingtech sends informational messages to IRFs that are not meeting Annual Increase Factor (AIF) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.

January 11, 2023

NEW RESOURCE AVAILABLE: Third Edition Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) COVID-19 Public Reporting Tip Sheet

These resources can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

January 3, 2023

Update to IRF QRP Provider Threshold Reports

The Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Provider Threshold Report (PTR) has been updated to account for the IRF-Patient Assessment Instrument (PAI) changes that were effective October 1, 2022. Technical questions can be directed to iqies@cms.hhs.gov.

December 21, 2022

Care Compare December Refresh of IRF QRP Data – Now Available

The December 2022 Refresh of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the IRF QRP Public Reporting website.

December 15, 2022

IRF Provider Preview Reports – Now Available

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the March 2023 refresh.

For more information, please visit the CMS IRF QRP Public Reporting website.

December 14, 2022

CMS IRF-PAI Quarterly Q&As, December 2022, Consolidated June 2020 to December 2022

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, December 2022, Consolidated June 2020 to December 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&A document can be accessed via the Downloads section of the IRF-PAI and IRF-PAI Manual web page.

December 7, 2022

NEW RESOURCE AVAILABLE: PHQ-2 to 9 Cue Card

This resource can be accessed through the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training page.

November 10, 2022

Reminder of Upcoming Data Submission Deadline

The submission deadline for the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) is approaching. IRF Patient Assessment Instrument (IRF-PAI) assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for April 1 – June 30 (Quarter 2) of Calendar Year (CY) 2022 is due with this submission deadline.

All data must be submitted no later than 11:59 p.m. on November 15, 2022.

It is recommended that the applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.

View the list of measures required for this deadline in the Downloads section on the IRF Quality Reporting Data Submission Deadlines web page.

For submission information, visit:

Swingtech sends informational messages to IRFs that are not meeting Annual Increase Factor (AIF) thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.

September 28, 2022

Care Compare September Release of IRF QRP Data – Now Available

The September 2022 Release of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the IRF QRP Public Reporting website.

September 28, 2022

CMS Statement on IRF-PAI V4.0 and Compliance with IRF QRP

The Centers for Medicare & Medicaid Services (CMS) is issuing a statement on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) V4.0 and compliance with the Quality Reporting Program (QRP) to address concerns brought forth by the IRF provider community. Additionally, CMS is publishing a Q&A to assist providers in addressing questions they may have about next steps regarding to this topic.

These items can be accessed via Downloads section of the IRF-PAI and IRF-PAI Manual web page.

September 22, 2022

IRF QRP AIF Table for Reporting Assessment-Based QM and Standardized Patient Assessment Data Elements and Data Collection and Final Submission Deadlines Affecting FY 2025 posted

An update to the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Annual Increase Factor (AIF) Table for Reporting Assessment-Based quality measures (QMs) and standardized patient assessment data elements to the Centers for Medicare & Medicaid Services (CMS) is now available. This document has been updated to reflect the data elements that will be required to meet the AIF minimum data completion threshold for Fiscal Year (FY) 2025. Additionally, an update to the IRF QRP Data Collection and Final Submission Deadlines for the FY 2025 IRF QRP is available. This document has been updated to reflect the data collection and final submission deadlines required to meet the AIF minimum data completion threshold for FY 2025.

The IRF QRP AIF Table can be accessed via the Downloads section of the IRF QRP Measures Information web page.  The IRF QRP Data Collection and Final Submission Deadlines can be accessed via the Downloads section of the IRF QRP Data Submission Deadlines web page.

September 21, 2022

IRF QRP FAQs for FY 2023

An update to the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the IRF QRP in Fiscal Year (FY) 2023 and includes other useful resources available to providers.

The FAQ document can be accessed via the Downloads section of the IRF Quality Reporting FAQs web page.

September 20, 2022

POST-EVENT MATERIALS AVAILABLE: IRF and LTCH Updated Guidance Virtual Training Program Post-Event Q&A

A Post-Event Q&A document is now available for the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Updated Guidance Virtual Training Program.

For more information, please visit the IRF Quality Reporting Program (QRP) Training page.

September 15, 2022

IRF Provider Preview Reports – Now Available

The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the December 2022 refresh.

For more information, please visit the CMS IRF QRP Public Reporting website.

September 7, 2022

CMS IRF-PAI Quarterly Q&As, September 2022, Consolidated June 2020 to September 2022

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, September 2022, Consolidated June 2020 to September 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&A document can be accessed via Downloads section of the IRF-PAI and IRF-PAI Manual web page.

September 1, 2022

IRF QRP Quality Measure Calculations and Reporting User’s Manual V4.0, Change Table, Risk Adjustment Appendix File, and HCC ICD-10 Crosswalks – Now Available

The Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Quality Measure Calculations and Reporting User’s Manual Version 4.0 and accompanying documents are now available. These documents serve as an update to the specifications used to calculate quality measures that are included in the IRF QRP effective October 1, 2022.

For more information, please visit the CMS IRF QRP Quality Reporting Measures Information website.

 

Page Last Modified:
05/22/2023 11:15 AM