0938-AS09 201410 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS FY 2015 Inpatient Rehabilitation Facility Prospective Payment System (CMS-1608-F)

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2015 (for discharges occurring on or after October 1, 2014, and on or before September 30, 2015) as required by the statute. This final rule will also collect data on the amount and mode (that is, Individual, Concurrent, Group, and Co Treatment) of therapy provided in the IRF setting according to therapy discipline, revise the list of diagnosis and impairment group codes that presumptively meet the "60 percent rule" compliance criteria, provide a way for IRFs to indicate on the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) form whether the prior treatment and severity requirements have been met for arthritis cases to presumptively meet the "60 percent rule" compliance criteria, and revise and update quality measures and reporting requirements under the IRF quality reporting program (QRP). The revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule" that were finalized in FY 2014 IRF PPS final rule (78 FR 47860), as well as the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the "60 percent rule" finalized in this rule, will be effective for compliance review periods beginning on or after October 1, 2015. This final rule will also address the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), for the IRF prospective payment system (PPS), effective when ICD-10-CM becomes the required medical data code set for use on Medicare claims and IRF-PAI submissions.

]]> Economically Significant Previously Published in The Unified Agenda Completed Actions Yes No 42 CFR 412 Social Security Act, sec 1886(j) PL 106-554 PL 106-113 Statutory Final 08/01/2014 No NPRM 05/07/2014 79 FR 26307 NPRM Comment Period End 06/30/2014 Final Action 08/06/2014 79 FR 45872 No Businesses None No No No No Gwendolyn Johnson Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-6954 gwendolyn.johnson@cms.hhs.gov Center for Medicare, MS: C5-06-27, 7500 Security Boulevard, Baltimore MD 21244 Kadie Thomas Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-0468 kadie.thomas@cms.hhs.gov Office of Clinical Standards and Quality, Mail Stop S3-02-01, 7500 Security Boulevard, Baltimore MD 21244