The Centers for Medicare & Medicaid Services (CMS) has issued a fiscal year (FY) 2022 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) final rule, which updates Medicare payment policies and rates for IRFs, finalizes policies under the IRF Quality Reporting Program (QRP) and includes a Medicare Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) payment provision from a 2018 interim final rule. FY 2022 IRF PPS payment rates and policies will be effective on October 1, 2021.

IRFs will see a 1.9% Medicare payment rate increase in FY 2022. CMS estimates that the overall Medicare IRF payments would increase by 1.5% (or $130 million), relative to payments made in FY 2021. Additionally, IRFs that do not meet QRP requirements are subject to a 2% reduction in their annual increase factor. 

Furthermore, CMS is finalizing an exclusion from fee schedule adjustments based on information from the DMEPOS Competitive Bidding Program (CBP) for wheelchair accessories (including seating systems) and seat and back cushions furnished in connection with group 3 or higher complex rehabilitative power wheelchairs and modifying the regulatory definition of “item”.

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

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