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

CMS Finalizes Inpatient Rehabilitation Facility FY 2022 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) for FY 2022. 

As required by section 1886(j)(5) of the Act, this final rule includes the classification and weighting factors for the IRF PPS’s case-mix groups (CMGs) and a description of the methodologies and data used in computing the prospective payment rates for FY 2022. 

The rule adds one new measure to the IRF QRP and modifies the denominator for another measure currently under the IRF QRP beginning with the FY 2023 IRF QRP. In addition, this final rule modifies the number of quarters used for publicly reporting certain IRF QRP measures due to the public health emergency (PHE). 

The 171-page document is scheduled for publication in the Federal Register on August 4. A copy is currently available at: https://public-inspection.federalregister.gov/2021-16310.pdf.

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