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Spotlight

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

• Search CMS’ MCD
• CMS’ MCD - NCD alphabetical index

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.

IRF documentation checklist

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

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)

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