Dobson | DaVanzo staff recently completed analyses to support provider comments to CMS on proposed changes to the Inpatient Rehabilitation Facility (IRF) Prospective Payment System case-mix system. The proposed changes would primarily replace assessment items clinicians use to measure patient functionality, fundamentally altering the way IRF patients are categorized for purposes of Medicare payment and how providers are reimbursed. Our mixed methods approach combining quantitative analyses of case data and policy analyses of the proposed rule and related administrative rulemaking enabled providers to better understand the potential impacts of the proposed changes and articulate specific data and policy concerns with CMS. The short 60-day timeframe between the release of the proposed rule change and the deadline for comments caused some excitement around the office and left us energized for the next round of NPRMs!
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