Inpatient rehabilitation facility (IRF)
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Spotlight
CMS inpatient rehabilitation facility (IRF) provider education webinar: FY 2027 IRF Final Rule updates – Join CMS for a national provider education webinar on FY 2027 IRF Final Rule updates on Tuesday, September 29, 2026, from 1 p.m. to 2 p.m. ET. Learn about revisions to the 36-hour requirement, interdisciplinary team (IDT) meeting requirements, and related documentation expectations designed to support compliance and reduce billing and documentation errors. Registration is now open.
Inpatient Rehabilitation Facility (IRF) – View details regarding the IRF Quality Reporting Program on CMS.gov.
Local coverage determination (LCD) / national coverage determination (NCD)
LCD
Search for IRF-related LCDs using these available tools:
- LCD interactive index tool
- View First Coast’s active / proposed LCDs / articles on CMS’ Medicare coverage database (MCD)
NCD
Medical documentation
Medical record documentation is used to verify that services were billed correctly and to ensure that payment and processing of Medicare claim(s) are accurate and based on sound policy. Find information, tips, and resources regarding medical documentation.
CMS Internet-only manuals (IOM)
The CMS’ IOMs contain day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives. The following CMS IOMs contains information specific to rehabilitation service providers:
- Publication 100-02 - Medicare Benefit Policy Manual – Chapter 1
- Publication 100-04 - Medicare Claims Processing Manual - Chapter 3
Resources
Listed below are additional resources identified specifically for inpatient rehabilitation service providers:
- Inpatient Rehabilitation Hospitals & Inpatient Rehabilitation Units Compliance Tips
- CMS’ IRF PPS
- IRF Patient Assessment Instrument (IRF-PAI)
- IRF PPS Web Pricer
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