Rehab: IRFs Need To Get Up To Speed On PPS Regs

Why This Topic Matters

IRF billing errors can affect payment accuracy, audit risk, and overpayment exposure under Medicare PPS rules. Understanding the article helps readers recognize the types of claim handling issues that may draw scrutiny from CMS or the OIG.

Article Sections

1. Transfers

   Overview of how transfer-related IRF claims are handled under Medicare prospective payment rules and why patient status coding is relevant to those claims.

2. Interrupted Stays

   Discussion of IRF interrupted-stay billing under PPS and the timing concept used to determine when a stay is treated as interrupted.

3. OIG Review of Weldon Rehabilitation Hospital

   Summary of an HHS Office of Inspector General review involving a rehabilitation hospital and the payment issues identified in that audit.