Last month, the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) issued a report finding that unclear Medicare requirements may have led to overpayments to inpatient rehabilitation facilities (IRF). Industry representatives have shot back at the report and urged lawmakers to ignore it.
The OIG...Arizona Bricks & Mortar
The rehabilitation hospital is planned on eight acres adjacent to Mayo Clinic’s Phoenix hospital, near the Arizona State University Health Futures Center.
The new hospital has entered into a long-term lease agreement for the property with Pan-American Financial Assistance Foundation with funding arranged and structured by Veyron, a...CMS Rules
The Centers for Medicare and Medicaid Services (CMS) estimated the 2025 pay bump will increase inpatient rehabilitation facilities (IRFs) payments by $280 million for FY 2025.
IRFs can be freestanding facilities or specialized units within acute care hospitals. They provide an intensive rehabilitation program and patients who are...
MedPAC is concerned about the adequacy of fee-for-service (FFS) Medicare rates and the sunsetting of participation bonuses for clinicians in advanced alternative payment models (A-APMS). Commissioners also discussed the Medicare Advantage PA problem, considered how to lower FFS rates for inpatient rehabilitation facilities and much more...
The Centers for Medicare and Medicaid Services (CMS) published a memo concerning a crackdown on improper claims for skilled nursing facilities. CMS also announced that it would begin a demonstration for inpatient rehabilitation facilities in Alabama that will allow all Medicare claims to be subject to review.
As of June 5, all SNFs...National News
If approved, inpatient psychiatric facility (IPF) payments would increase year-over-year (YOY) by a net of 2.7%, or $50 million while inpatient rehabilitation facility (IRF) would get a bump of 2.8%, or an additional $170 million in FY2023.
According to the American Hospital Association (AHA), the IPF proposed 2.7% payment update...Health Related Groups
At the beginning of May, Gov. Doug Ducey vetoed a bill that would have allowed the Arizona board that oversees licenses for nursing home and assisted living administrators to operate for eight more years. Instead, Ducey wants the Legislature to transfer the board’s responsibility to the Arizona State Health Department.
A recent...Arizona News
The Office of the Inspector General (OIG) recently discovered $5.7 billion in unreasonable and unnecessary payments to inpatient rehabilitation facilities (IRFs) after a sample audit. The review was prompted by Medicare spending of about $7 billion on IRF stays in 2013, leading the OIG to question the payment system.
The OIG sampled...
