What is the payment based on in an acute rehabilitation facility?

What is the payment based on in an acute rehabilitation facility?

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 is a CMS 13 diagnosis?

(13) Knee or hip joint replacement, or both, during an acute hospitalization immediately preceding the inpatient rehabilitation stay and also meet one or more of the following specific criteria: 1.

What is PPS in rehab?

Prospective Payment Systems (PPS)

When Medicare runs out what happens?

Medicare will stop paying for your inpatient-related hospital costs (such as room and board) if you run out of days during your benefit period. To be eligible for a new benefit period, and additional days of inpatient coverage, you must remain out of the hospital or SNF for 60 days in a row.

How do you stay positive and motivated in Covid?

10 tips for staying motivated during the pandemic

1. Start your day with a plan or schedule.
2. Squeeze in shorter bouts of activity.
3. Practice healthy and mindful eating.
4. Be “social”.
5. Notice how good exercise makes you feel.
6. Get enough sleep.
7. Relax and recharge.
8. Reward yourself.

What are the 13 qualifying medical conditions for CMS?

rehabilitation therapy. The 13 qualifying medical conditions, specified by CMS, are: • stroke • spinal cord injury • congenital deformity • amputation • major multiple trauma • hip fracture • brain injury • certain neurological conditions (e.g., multiple sclerosis, Parkinson’s disease) • burns • three arthritis conditions for which

What are the 13 qualifying medical conditions for IRF?

percent of an IRF’s patient population (Medicare and other) have as a primary diagnosis or comorbidity at least one of 13 conditions that typically require intensive rehabilitation therapy. The 13 qualifying medical conditions, specified by CMS, are: • stroke • spinal cord injury • congenital deformity • amputation • major multiple trauma

How are Medicare patients assigned to case mix groups?

The wage-adjusted base rate is then case-mix adjusted. Medicare patients are assigned to case-mix groups (CMGs) based on the primary reason for intensive rehabilitation care (for example, a stroke or hip fracture), age, and level of motor and cognitive function.