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May 8, 2007

ShareMedicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2008

The Centers for Medicare and Medicaid Services proposed that inpatient rehabilitation facilities (IRFs) receive increased Medicare payments for discharges occurring on or after October 1, 2007. The proposed rule would update payment rates and modify payment policies for services. In fiscal year 2008, Medicare payments to approximately 1,234 IRFs may increase by $150 million. Key changes that began July 1, 2007, include the following:

  • IRF payment rate increased by 3.3%

  • Compliance with the 75% Rule increased to 65% for 12-month cost reporting periods beginning July 1, 2007

  • High-cost outlier threshold increased to $7,522

  • Short-stay transfer cases that met the criteria to qualify for outlier payments are eligible to receive the additional payments

 

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