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INPATIENT REHABILITATION FACILITIES paymentbasics …

INPATIENT REHABILITATION FACILITIES paymentbasics PAYMENT SYSTEM. Revised: After an illness, injury, or surgery care, is subject to Medicare's limits on INPATIENT October 2016 some patients need intensive INPATIENT hospital care; thus beneficiaries' IRF stays REHABILITATION services, such as physical, are covered for 90 days of hospital care per occupational, or speech therapy. Such illness, with a 60-day lifetime services are frequently provided in skilled nursing FACILITIES (SNFs) but are sometimes Defining the INPATIENT REHABILITATION provided in INPATIENT REHABILITATION facility product Medicare buys FACILITIES (IRFs). Comparatively few Medicare beneficiaries use IRFs, in part Since January 2002, Medicare has paid because nationwide there are fewer IRFs IRFs predetermined per discharge rates than SNFs but also because, to be eligible based primarily on the patient's condition for treatment in an IRF, the patient (diagnoses, functional and cognitive generally must be able to tolerate and statuses, and age) and market area wages.

3 Inpatient rehabilitation facilities payment system paymentbasics the standard base payment amount for all IRFs by an amount estimated to equal 3 percent of total spending for IRFs. Interrupted stays—IRFs receive one payment for“interrupted-stay” patients.

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