The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule updating inpatient rehabilitation facility (IRF) payment rates for fiscal year 2010. The proposed rule recommends a market basket update of 2.4% as well as raising the IRF outlier threshold to $9,976, which would increase IRF payments by $150 million from 2009 levels. In addition, CMS proposes to begin including Medicare Advantage patients in its assessment of compliance with the “60% Rule,” which would require IRFs to assess this additional group of patients. Comments on the proposed rule and IRF criteria will be accepted through June 29. A final rule will be issued by August 1, with provisions that take effect October 1.
The fact sheet can be accessed here.