An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg

CMS Finalizes Inpatient Rehabilitation Facility FY 2021 PPS Update

The Centers for Medicare and Medicaid Services (CMS) have released a final rule to update the inpatient rehabilitation facility Prospective Payment System (IRF PPS) payment amounts for FY 2021. 

The rule includes the classification and weighting factors for the IRF PPS’s case-mix groups (CMGs), and the adoption of a recent revised Office of Management and Budget (OMB) statistical area delineations. CMS will, as proposed, apply a 5.0 percent cap on any wage index decrease in FY 2021 compared to FY 2020 in a budget neutral manner. 

There are no proposals or updates to the IRF Quality Reporting Program (QRP). 

The 126-page document is scheduled for publication in the Federal Register on August 10. A copy is currently available at: https://s3.amazonaws.

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