';
CLOSE
Authors Posts by Melissa Dehoff

Melissa Dehoff

451 POSTS 0 COMMENTS
Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

0 1064

Novitas Solutions has released the Cycle 2 results for the inpatient rehabilitation facility (IRF) review choice demonstration (RCD). The Cycle 2 results letters were issued on September 10, 2025, and are available in Novitasphere.

IRFs will have a 2-week choice selection period for Cycle 3 from October 7, 2025 – October 20, 2025, using the Novitasphere portal.

Cycle 3 Choice Selection Options

If the approval rate meets or exceeds target affirmation rate of 85% for Cycle 2 (based on a minimum of 10 submitted pre-claim review requests or claims), the IRF may select 1 of the 3 subsequent review choices:

  • Choice 1: Pre-claim review (PCR)
  • Choice 3: Selective post-payment review (default if no review choice is made)
  • Choice 4: Spot check prepayment review

If the IRF’s affirmation or claim approval rate is less than the target affirmation rate or they have not submitted at least 10 requests/claims, the IRF must again choose from 1 of the initial 2 options:

  • Choice 1: Pre-claim review (PCR)
  • Choice 2: Post-payment review (default if no review choice is made)

Cycle Stats Reminder

IRFs can access information about their affirmation/approval rate at any given time during the current or previous review cycle through the Cycle Stats option in Novitasphere. Visit here for more information on cycle stats.

IRF RCD Questions

Questions or concerns regarding the IRF RCD should be directed to the IRF Customer Service line at 855-340-5975, Monday – Friday, 8:00 am – 6:00 pm.

IRF RCD Resources and Educational Opportunities

Visit the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) web page for important information about the IRF RCD and upcoming educational events, including a recording of the September 24, 2025, webinar on IRF RCD: Cycle 2 Results and Transitioning to Cycle 3.

Important Deadlines

  • October 7, 2025 – October 20, 2025, Cycle 3 Choice Selection
  • November 1, 2025 – April 30, 2026, Cycle 3 Review Dates
  • On or before May 30, 2026, Cycle 3 Affirmation/Approval Rate Communication

0 1611

On September 23, 2025, the Centers for Medicare and Medicaid Services (CMS) issued a policy clarification related to the qualifications for speech-language pathologists (SLP) when furnishing Part B outpatient therapy services.

These Part B services include speech-language pathology services that:

  1. Are furnished by SLPs in private practice (SLPPPs) who submit professional claims; and
  2. Are furnished and billed by providers of outpatient therapy services as defined at 42CFR489.2.

0 1146

The agenda for the October 1, 2025, virtual Long-Term Services and Supports (LTSS) Subcommittee meeting has been released. The meeting will be held from 10:00 am – 1:00 pm. Information specific to this meeting is below:

Comments and questions should be sent electronically.

0 1667

On September 24, 2025, WellSky will be conducting a webinar on the fiscal year (FY) 2026 inpatient rehabilitation facility prospective payment system (IRF PPS) final rule that was released by the Centers for Medicare and Medicaid Services (CMS) in early August. The webinar will begin at 12:00 pm. There is no cost to participate in this webinar.

Topics will include:

  • The key changes in the 2026 IRF Final Rule impacting reimbursement;
  • The technical changes and their indirect effects on your program;
  • The amendments to the QRP and the appeal process; and
  • The latest concerns about potential IRF reimbursement denials.

To participate in the webinar, register here.

0 1363

Due to budget constraints, the Office of Long-Term Living (OLTL) has announced a change to the upcoming Long-Term Services and Supports (LTSS) Subcommittee meeting. The next LTSS Subcommittee meeting on Wednesday, October 1, will be held as a webinar with remote streaming only, from 10:00 am to 1:00 pm. To register for the webinar, please use this webinar registration link. After registering, you will receive a confirmation email containing information about joining the webinar.

0 1394
Replay icon on wooden cubes on smart grey background and copy space. Recap business, meeting summary, business review concept.

The Long-Term Services and Supports (LTSS) Subcommittee meeting was recently held on September 3, 2025. During the meeting, a number of presentations were given. In addition to the presentations, the agenda and a document that provided follow-up items from the August 6, 2025, LTSS Subcommittee meeting were provided.

Members should take time to review the PowerPoint presentation from the meeting below:

The next LTSS Subcommittee meeting is scheduled for Wednesday, October 1, 2025. The meeting will be held from 10:00 am – 1:00 pm in the Forest Room at the Commonwealth Keystone Building, which is located at 400 North Street in Harrisburg, PA.

The option to participate virtually is also available. If attending virtually, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. The option to call in is also available by dialing 562-247-8321; Access code: 930-608-721#.

Remote captioning and streaming services will be provided: Remote Captioning and Streaming Link.

Prev123...46Next Page 2 of 46
© 2021 - Rehabilitation & Community Providers Association