tci Medicare Compliance & Reimbursement - 2003 Issue 31

Rehab: WHAT'S MISSING FROM THE 2004 IRF PAYMENT UPDATE

Controversial 75 percent rule still unsettled. Inpatient rehabilitation facilities will get a 3.2-percent raise in 2004, the Centers for Medicare & Medicaid Services revealed in an Aug. 1 payment rule. But the fate of the much-maligned 75-percent rule still remains up in the air. The 75-percent rule requires rehab hospitals to show that at least three-quarters of their inpatient population over the most recent 12-month cost reporting period required "intensive rehabilitation services for 10 serious medical conditions," such as stroke, amputations and brain injuries. Providers have protested that the rule is so strict - not to mention...

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