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Medical Rehab

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RCPA has been in communication with the American Medical Rehabilitation Providers Association (AMRPA), who has been working with the Centers for Medicare and Medicaid Services (CMS) to ensure inpatient rehabilitation facilities (IRFs) do not face inappropriate non-compliance penalties related to the IRF Patient Assessment Instrument (PAI) version 4.0 that is set to go into effect tomorrow (October 1, 2022). One particular concern is new items in version 4.0 do not include a “skip logic” to account for unplanned discharges that classify as incomplete stays. This oversight could lead to many IRFs not meeting the 95 percent data completion threshold for the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP).

Yesterday, CMS released a statement on the issue along with a Question & Answer (Q&A) document. CMS also noted that the agency will determine if a permanent fix is necessary and will release any related guidance or data specifications in the coming weeks.

Image by Gino Crescoli from Pixabay

A reminder to providers who received Provider Relief Fund (PRF) payments during the period January 1, 2021, to June 30, 2021. You must use the PRF Reporting Portal to document the use of these funds by this Friday, September 30, 2022.

According to the HRSA website, “Recipients who do not report within the respective reporting time period will be considered out of compliance with payment Terms and Conditions, and funds may be subject to recoupment.”

If you have any questions, please contact your RCPA Policy Director.

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The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and the Provider Data Catalog during the Care Compare refresh in December 2022. For additional information, please visit the CMS IRF Quality Reporting Program (QRP) Public Reporting website. The deadline to review the information is October 17, 2022.

RCPA staff and the Conference Committee are gearing up for our long-awaited in-person conference to be held in Hershey, PA, October 11 – 14, 2022! We would like to highlight our current line-up of exhibitors, who will be showcasing their products in our Beacon Health Options Connections Hall October 12 – 13. Attendees will be able to connect with exhibitors face-to-face as well as through our mobile app and take part in a points-driven game to earn coveted prizes! Be sure to register here to attend the conference and participate in this exciting game! RCPA thanks our exhibitors for their support of our 2022 Conference!