tci Medicare Compliance & Reimbursement - 2004 Issue 35

Rehab: IRFs Balance Good PPS News With Bad Reg Changes

Can a market-basket boost offset the 75-percent rule bust?Inpatient rehab hospitals are looking forward to an increase in payments slated to take effect Oct. 1 under the updated prospective payment system rates for 2005. But the 75-percent rule looms like an 800-pound gorilla threatening to crush that gain-here's what rehab providers need to know to respond.Good news: IRFs will see a 3.1-percent boost in reimbursement for fiscal year 2005, which is "a pretty good uptick," according to consultant Fran Fowler with Fowler Healthcare Affiliates Inc. in Atlanta. The Centers for Medicare & Medicaid Services bases...

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