The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1767-F) to update Medicare payment policies and rates under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2023. Here’s a summary of the key provisions, which are effective October 1, 2022:

  • Updated IRF PPS payment rates by 3.9% with estimated overall payments to increase by 3.2% (or $275 million) after productivity and outlier adjustments
  • Applied a permanent 5% cap on annual wage index decreases
  • CMS is finalizing a policy to expand the IRF quality data reporting requirements, which currently apply to all admitted IRF patients with Medicare Part A fee-for-service (FFS) and Medicare Part C, such that IRFs will begin collecting data on all IRF patients, regardless of payer.

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

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