tci Medicare Compliance & Reimbursement - 2005 Issue 10

REHAB: New Resource Illuminates 75 Percent Rule Enforcement

Take heart: If FIs sell you short, the decision can be appealedMany providers are still scratching their heads over how fiscal intermediaries will enforce the so-called "75 percent rule." But a fact sheet recently released by the Centers for Medicare & Medicaid Services makes clear what to expect.CMS' 12-page fact sheet outlines for providers the basics of the inpatient rehab facility classification requirements, how FIs will enforce those requirements and the IRFs' role in the process.Important points to note are:If the majority of your patients are Medicare Part A fee-for-service beneficiaries, the FI will use the...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.