The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(b) of the Patient Protection and Affordable Care Act (ACA) of 2010. In the ongoing efforts to address the COVID-19 public health emergency (PHE), CMS is finalizing the adoption of the COVID-19 Vaccination Coverage among HCP Measure. A video of the IRF QRP: Achieving a Full Annual Increase Factor (AIF) webinar that took place on Wednesday, May 19, 2021, is available to view on YouTube at the following link:https://youtu.be/Jk2_2tqwg88. For more information, please visit the IRF QRP Public Reporting webpage. Trainings added to this page in the most recent six months will display as*NEW*. subject to a two-percentage-point (2%) reduction in its Annual Increase Factor (AIF). and be sure to include your facility name and CCN along with any requested email updates. Each year, by October 1, CMS publishes the . Services Requirements AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). NEW RESOURCE AVAILABLE: Third Edition Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) COVID-19 Public Reporting Tip Sheet. means youve safely connected to the .gov website. If you have questions regarding the assignment of logins and passwords, accessing the CMSNet or about the submission process, please contact the Quality Improvement and Evaluation System (QIES) Technical Support Office (QTSO) help desk at (800) 339-9313. Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Quick Reference Guide . Consistent with Executive Order 13985 on Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, CMS is committed to addressing the significant and persistent inequities in health outcomes in the United States through improving data collection to better measure and analyze disparities across programs and policies. Sign up to get the latest information about your choice of CMS topics in your inbox. This resource can be accessed through the, This resource can be accessed through the, March 2023, Consolidated June 2020 to March 2023, The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance, Inpatient Rehabilitation Facility Quality Reporting Program, IRF Quality Reporting Spotlight & Announcements, IRF Quality Reporting Program Health Equity, IRF Quality Reporting Measures Information, IRF Quality Reporting Technical Information, IRF Quality Reporting Reconsideration and Exception & Extension, How to Update Inpatient Rehabilitation Facility (IRF) Demographic Data. 202-690-6145. Content-related questions should be submitted to theIRF QRP Help Desk. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2024 and Updates to the IRF Quality Reporting Program, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program; Payment for Complex Rehabilitative Wheelchairs and Related Accessories (Including Seating Systems) and Seat and Back Cushions Furnished in Connection with Such Wheelchairs, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021, Medicare Program; Inpatient Rehabilitation Facility (IRF) Prospective Payment System for Federal Fiscal Year 2021, Medicare Program; Inpatient Rehabilitation Facility (IRF) Prospective Payment System for Federal Fiscal Year 2020 and Updates to the IRF Quality Reporting Program, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2020 and Updates to the Inpatient Rehabilitation Facility Quality Reporting Program, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2019. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name. For FY 2023, CMS is finalizing updates to the IRF PPS payment rates based on the IRF market basket update less a productivity adjustment. . CMS is publishing this proposed rule consistent with the legal requirements to . Currently, the measure denominators for both the TOH Information to the Patient-PAC and to the Provider-PAC quality measures include patients discharged home under the care of an organized home health service organization or hospice. ) Purpose This final rule updates the prospective payment rates for IRFs for FY 2022 (that is, for discharges occurring on or after October 1, 2021, and on or before September 30, 2022) as required under section 1886 (j) (3) (C) of the Social Security Act (the Act). This page provides basic information about being certified as a Medicare and/or Medicaid Inpatient Rehabilitation Facility (IRF) and includes links to applicable laws, regulations, and compliance information. PDF Second Edition IRF QRP COVID-19 Public Reporting Tip Sheet More detailed instructions regarding the use of cue cards can be found in the IRF-PAI 4.0 Manual. Official websites use .govA CMS is offering a set of cue cards to assist providers in conducting the BIMS, as referenced in the IRF-PAI 4.0 coding guidance. The purpose of the IRF-PAI Manual is to offer continuing guidance to IRFs regarding collection, submission, and reporting of assessment data. CMS Requirements | NHSN | CDC Airplane*. This fact sheet discusses the provisions of the rule. CMS is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. We received a number of comments which we will consider as we develop future policies in this space. On April 3, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1781-P) that provides proposals for the fiscal year (FY) 2024 Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP). Updated IRF-PAI Training Manual - Section 2- Item by Item IRF PAI Coding Instructions updated to include changes that will be effective October 1, 2017 as finalized in the FY 2018 IRF PPS . CMS must make quality data available to the public through theCare Comparewebsite. Published Document Start Printed Page 19086 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. An official website of the United States government Secure .gov websites use HTTPSA Assessment and Coding of Pressure Ulcers/Injuries. This 5-minute video is designed to provide targeted guidance using simulated patient scenarios. (IRF) Compare ; Operational Guidance . Before sharing sensitive information, make sure youre on a federal government site. View the list of measures required for this deadline in the, IRF Quality Reporting Data Submission Deadlines, Swingtech sends informational messages to IRFs that are not meeting Annual Increase Factor (AIF) threshold on a quarterly basis ahead of each submission deadline. Inclusion of the National Healthcare Safety Network (NHSN) Healthcare-associated Clostridioides difficile Infection Outcome Measure in the IRF QRP. These items can be accessed viaDownloadssection below. On April 7, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2022. Also, you can decide how often you want to get updates. The final rule(CMS-1748-F)can be downloaded from the. Which states recognize Juneteenth as an official holiday? | Pew CMS is finalizing a policy to expand the IRF quality data reporting requirements, which currently apply to all admitted IRF patients with Medicare Part A fee-for-service (FFS) and Medicare Part C, such that IRFs will begin collecting data on all IRF patients, regardless of payer. PDF DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Any IRF that does not meet reporting requirements may be . This 90-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section M: Skin Conditions and is designed to include interactive exercises to test your knowledge. The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, December 2022, Consolidated June 2020 to December 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance. Lying to Sitting on Side of Bed. Privately Owned Vehicle (POV) Mileage Reimbursement Rates. This adjustment will result in a 0.6 percentage point decrease in outlier payments. This resource is intended to be utilized as a supplemental patient communication tool that provides a visual reference for the coding of response options. On July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to update Medicare payment policies and rates under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2023. For FY 2022, CMS is updating the IRF PPS payment rates by 1.9% based on the IRF specific market basket estimate of 2.6%, less a 0.7 percentage point productivity adjustment. Official websites use .govA PDF Health Financial Systems In Lieu of Form CMS-2552-10 RH OF - IN.gov The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, in June of 2023. Federal Register :: Medicare Program; Inpatient Rehabilitation Facility This document has been updated to reflect the data elements that will be required to meet the AIF minimum data completion threshold for Fiscal Year (FY) 2025. An official website of the United States government Impact of Data Exce ptions on Public Reporting. lock Public reporting of the COVID-19 Vaccination Coverage among HCP measure will begin with the September 2022 Care Compare refresh or as soon as technically feasible based on data collected for Q4 2021 (October 1, 2021 through December 31, 2021). Lying to Sitting on Side of Bed. The document contains the consolidated Q&As from June 2020 to June 2023 so that all IRF providers have the benefit of the clarifications to existing guidance. New Mexico has recognized Juneteenth as a state holiday since 2006, observed on the third Saturday of June; it became a paid holiday for state workers for the first time in 2022. We expect that the clinicians assembling the data and performing the preadmission screening will extract the pertinent data from the referring hospital medical record. Sign up to get the latest information about your choice of CMS topics. 3590 Health Care Law). or IRF Rules and Related Files | CMS - Centers for Medicare & Medicaid or Federal Register :: Medicare Program; Inpatient Rehabilitation Facility The document contains the consolidated Q&As from June 2020 to June 2023 so that all IRF providers have the benefit of the clarifications to existing guidance. The annual NHSN measure Influenza Vaccination among Healthcare Personnel is also due with this deadline. CMS is also finalizing a permanent cap on year-to-year wage index decreases. CMS IRF-PAI Quarterly Q&As,December 2022, Consolidated June 2020 to December 2022. An official website of the United States government. For additional information related to the IRF Prospective Payment System (PPS) requirements, please refer to theIRF PPSwebpage. The job aids are provided in multiple file types designed for printing, viewing, or sharing electronically. CMS must make quality data available to the public through the . Weve also improvedMedicares Compare sites. means youve safely connected to the .gov website. Content-related questions should be submitted to the IRF QRP Help Desk. IRF PPS FY 2022 Final Rule. *NEW* RESOURCE AVAILABLE: PHQ-2 to 9 Cue Card The Centers for Medicare & Medicaid Services (CMS) is offering a cue card to assist providers in coding the Patient Health Questionnaire (PHQ-2 to 9) as referenced in the coding guidance for D0150. The IRF teaching status adjustment adjusts payments to reflect the higher costs of teaching IRFs, similar to the IPPS indirect medical education (IME) adjustment. CMS is adopting one measure and finalizing its proposal to update the specifications for another measure. Care Compare December Refresh of IRF QRP Data Now Available. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Learn more about Section 3004 of the ACA (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs) by visitingP.L. ) The final rule(CMS-1748-F)can be downloaded from theFederal Registerat: https://www.federalregister.gov/public-inspection/current, For further information, see the IRF center webpage:https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS, CMS News and Media Group Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance. IRF PPS FY 2022 Final Rule for more detail about this new measure. Q4 2018 through Q4 2019 and Q3 2020) and the September 2022 refresh (Q4 2019 and Q3 2020 through Q3 2021), CMS is working to further its mission to improve the quality of health care for beneficiaries through measurement, transparency, and public reporting of data, The IRF QRP and CMSs other quality programs are foundational for contributing to improvements in health care, enhancing patient outcomes, and informing consumer choice. The Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Provider Threshold Report (PTR) has been updated to account for the IRF-Patient Assessment Instrument (PAI) changes that were effective October 1, 2022. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The Care Compare website began reporting quality measure data in late 2016. Temporary IRF QRP Exceptions Due to the COVID-19 PHE. PDF Frequently Asked Questions - Centers for Medicare & Medicaid Services An official website of the United States government The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(b) of the Patient Protection and Affordable Care Act (ACA) of 2010. The FIM mark is owned by UBFA, Inc. Sign up to get the latest information about your choice of CMS topics. website belongs to an official government organization in the United States. To access the videos, click the links below. Sign up to get the latest information about your choice of CMS topics. 12/20/2022 11:30 AM. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance. CMS is releasing a short, animated explainer video to assist providers in coding A2121. IRF Documentation Requirements - JE Part A - Noridian - Noridian Medicare Eating, GG0130B. IRF-PAI Accessibility Reports and IRF-PAI version 1.5 and 2.0 Change Tables. The FAQ document can be accessed via theDownloadssection of theIRF Quality Reporting FAQswebpage. For additional information related to the IRF Prospective Payment System (PPS) requirements, please refer to the IRF PPS webpage. website belongs to an official government organization in the United States. CMS is offering companion job aids to assist providers in the assessment and coding of assessment items. Newsletters / Members Meeting Updates. Lying to Sitting on Side of Bed, 2023_February_Pain_Interview_Cue_Cards (PDF). 202-690-6145. The final rule [CMS-1767-F] can be downloaded from the Federal Register at:https://www.federalregister.gov/public-inspection/2022-16225/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal, Updates to the FY 2023 IRF PPS Payment Policies. Sign up to get the latest information about your choice of CMS topics. sought feedback in this RFI on our future plans to define digital quality measures (dQMs) for the IRF QRP. CMS is working to make health care quality more transparent to consumers and providers, enabling them to make better choices as well as promoting provider accountability around health equity. Official websites use .govA For more information, please visit the CMS IRF QRP Public Reporting website. March 2022 [PDF - 300 KB] Tips for submitting HCP COVID-19 Vaccination Data - March 2022 [PDF - 250 KB] Training. means youve safely connected to the .gov website. CMS IRF-PAI Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023. You can decide how often to receive updates. lock 3. IRF-PAI (version 2.0) - This IRF-PAI will become effective October 1, 2018. It is our hope to provide additional stratified quality measure information to providers related to race and ethnicity if feasible. Finally, we are seeking information on principles for selecting and prioritizing IRF QRP quality measures and concepts and providing an update on CMS continued efforts to close the health equity gap. In addition, CMS is codifying our IRF teaching status adjustment policy in regulation and clarifying certain teaching status adjustment policies. Purpose This final rule updates the prospective payment rates for IRFs for FY 2023 (that is, for discharges occurring on or after October 1, 2022, and on or before September 30, 2023) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). This video was developed to assist providers in accurately coding the new pain interview items including pain assessment strategies and associated patient communication challenges. The Quarterly Q&A document is available in the Downloads section of this webpage. CMS is offering a set of cue cards to assist providers in conducting the Pain Interview, as referenced in the IRF-PAI 4.0 coding guidance. CMS IRF-PAI Quarterly Q&As, June 2023, Consolidated June 2020 to June 2023. CMS is also proposing to modify the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure to report the number of HCP who are up to date with recommended COVID-19 vaccinations per the latestCenters for Disease Control and Prevention (CDC) guidance. GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. 7500 Security Boulevard, Baltimore, MD 21244, Fiscal Year (FY) 2022 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Final Rule (CMS-1748-F), On July 29, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that will update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS), and finalize policies under the IRF Quality Reporting Program (QRP), For FY 2022, CMS is updating the IRF PPS payment rates by 1.9% based on the IRF specific market basket estimate of 2.6%, less a 0.7 percentage point productivity adjustment, In the ongoing efforts to address the COVID-19 public health emergency (PHE), CMS is finalizing the adoption of the. . https:// CMS estimates that overall IRF payments for FY 2023 will increase by 3.2% (or $275 million) relative to payments in FY 2022. or IRF Patient Assessment Instrument (IRF-PAI) assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for October 1 December 31 (Q4) of calendar year (CY) 2022 are due with this submission deadline. . preadmission screening. website. Help with File Formats and Plug-Ins. To ensure accuracy of this publicly reported data, CMS gives IRFs the opportunity to review the data before they are posted. In addition, CMS is proposing the removal of three measures including the Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function; the IRF Functional Outcome Measure: Change in Self-Care Score for Medical Rehabilitation Patients; and the IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients. lock This document has been updated to reflect the finalized policies for the IRF QRP in Fiscal Year (FY) 2023and includes other useful resources available to providers. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Training, : Transfer of Health Items Explainer Video, : GG0170C. This measure is designed to help assess whether IRFs are taking steps to limit the spread of COVID-19 among their HCP, reduce the risk of transmission within their facilities, and help sustain the ability of IRFs to continue serving their communities through the PHE and beyond. CMS Releases FY23 Final Rules for Hospice Providers, IPFs, IRFs Thus, CMS will use this input for future development and expansion of policies to advance health equity across the IRF QRP, including by supporting IRFs in their efforts to ensure equity for all of their patients, and to identify opportunities for improvements in health outcomes. In March 2020, and in response to the COVID-19 PHE, CMS granted an exception to the IRF QRP requirements for calendar year Q1 2020 (January 1, 2020-March 31, 2020) and Q2 2020 (April 1, 2020-June 30, 2020). ( https:// Further, we plan to continue working with other agencies and stakeholders to coordinate and to inform our transformation to dQMs leveraging health IT standards. The new instructions are detailed below and cover the following subjects: Documentation Requirements; Required Preadmission Screening; Required Post-Admission Physician Evaluation; Required Individualized Overall Plan of Care; Required Admission Orders; Required IRF Patient Assessment Instrument (IRF-PAI); IRF Medical Necessity Criteria; ) An official website of the United States government Fast Healthcare Interoperability Resources (FHIR) in Support of Digital Quality Measurement in Post-Acute Care Quality Reporting Programs - RFI. Walking 10 feet on uneven surfaces. CMS Quality Reporting Programs Page 1 of 4 1/12/2022 . For the excepted refreshes to the Care Compare website affected by the quarters, CMS will calculate IRF QRP measures using three quarters (Q3 2020 through Q1 2021) of data for assessment-based measures, and six quarters for claims-based measures. CMSs ongoing commitment to closing the health equity gap in IRFs has been demonstrated by the adoption of standardized patient assessment data elements, which include several social determinants of health (SDOH) that were finalized in the FY 2020 IRF PPS final rule for the IRF QRP (84 FR 39149 through 39161). The Quarterly Q&A document can be accessed via the Downloads section of the IRF-PAI and IRF-PAI Manual webpage. Heres how you know. year to CY 2022 for all HHAs that were certified prior to January 1, 2022 starting in the CY 2023 performance year. Share sensitive information only on official, secure websites. In addition, the IMPACT Act requires assessment data to be standardized and interoperable to allow for the exchange of data among post-acute providers and other providers. For more information, please visit theIRF QRP Public Reportingwebpage. Content-related questions should be submitted to theIRF QRP Help Desk. Our newProvider Data Catalogmakes it easier for you to search and download publicly reported data. The video is now available through the following link: J0510-J0530 Pain Interview Explainer Video. Sign up to get the latest information about your choice of CMS topics. Fiscal Year (FY) 2015 Inpatient Rehabilitation Facility (IRF) Final Rule, CMS finalized the IRF QRP compliance requirements. Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP) Final Rule Updates: The IRF QRP is a pay-for-reporting program. Content-related questions should be submitted to the, Inpatient Rehabilitation Facility Quality Reporting Program, IRF Quality Reporting Spotlight & Announcements, IRF Quality Reporting Program Health Equity, IRF Quality Reporting Measures Information, IRF Quality Reporting Technical Information, IRF Quality Reporting Data Submission Deadlines, IRF Quality Reporting Reconsideration and Exception & Extension, How to Update Inpatient Rehabilitation Facility (IRF) Demographic Data, From Data Elements to Quality Measures:Cross-Setting QRP Web-Based Training, Assessment of Cognitive Function for IRF Providers, Course 1: Understanding Prior Functioning and Prior Device Use. Sign up to get the latest information about your choice of CMS topics in your inbox. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and IRF-PAI Manual, June 2023, Consolidated June 2020 to June 2023, The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, in June of 2023. CMS IRF-PAI Quarterly Q&As, March 2023, Consolidated June 2020 to March 2023. These reports contain provider performance scores for quality measures, whichwill be published onCare CompareandProvider Data Catalog (PDC)during theMarch 2023refresh. IRFPPS for FY 2024and Updates to the IRF QRP (CMS-1781-P). These reports contain provider performance scores for quality measures, whichwill be published on Care Compare and Provider Data Catalog (PDC) during theJune 2023 refresh. website belongs to an official government organization in the United States. Catherine Howden, DirectorMedia Inquiries Form Privately Owned Vehicle (POV) Mileage Reimbursement Rates Software related to the submission of IRF-PAI data may be downloaded from the software menu of this web page.
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