What does the IRF Pai measure?
The Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is collected on all Medicare patients who receive services from an inpatient rehabilitation unit or hospital. The data collected for IRF-PAI are used to measure quality of care.
What is the IRF 60% rule?
The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.
What are IRF codes?
An IRF is considered a post-acute care facility, and conditions that are treated prior to admission to the IRF are reported with codes that include status post, history of, and late effects. The first code reported for the principal diagnosis should be from the V57.
What is IRF PPS?
Historically, each rule or update notice issued under the annual Inpatient Rehabilitation Facility (IRF) prospective payment system (PPS) rulemaking cycle included a detailed reiteration of the various legislative provisions that have affected the IRF PPS over the years.
What is IRF data?
Initiated thanks to the generous support of the Total Foundation, the IRF Data Warehouse is a web-based global road data platform and warehouse that can complement and support national and regional efforts around collection and management of data and also significantly contribute to analysis, capacity building and …
What are GG codes?
Section GG is a set of standardized patient assessment elements that the Improving Post-Acute Care Transformation Act (IMPACT) mandated for collection in all post-acute care settings. The items are meant to measure functional changes in self-care and mobility and will be publicly reported in the near future.
What is an IRF claim?
An IRF is a hospital, or part of a hospital, that provides an intensive rehabilitation program to inpatients. Patients who are admitted must be able to tolerate an intensive level of rehabilitation services and benefit from a team approach.
How are IRF reimbursed?
Reimbursement Rates – IRF Payment for IRFs is on a per discharge basis, with rates based on such factors as patient-case mix, rehabilitation impairment categories and tiered case-mix groups. Rates may be adjusted based on the length of stay, geographic area and demographic group.
What does IRF mean in medical terms?
Inpatient Rehabilitation Facility Also known as IRF, these facilities offer rehabilitative and therapeutic care to patients that are regaining functions following a severe illness or injury.
What is IRF in healthcare?
IRFs are free standing rehabilitation hospitals and rehabilitation units in acute care hospitals. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day.
What is GG functional score?
Section GG scoring states that the higher the score, the more independent the resident is. Additionally in section GG, several items are combined to determine an average score.