IRF: Rehabilitation Physician Documentation Lunch-and-Learn Series

This four-part lunch-and-learn series provides physicians, physician extenders, and residents with specialized training related to the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and CMS’s documentation and regulatory requirements. Session 1 (30 minutes) Orientation to the IRF PPS Case-mix group (CMG) assignment and the physician’s role in assigning CMGs Session 2 (40 minutes) Impairment group code (IGC) and etiology pairings Supporting physician documentation and coding tips for certain IGC categories Session 3 (40 minutes) Comorbid conditions, tiers, and rehabilitation impairment category (RIC) exclusion criteria The 60% rule and necessary physician documentation to support presumptively compliant codes Physician documentation and coding tips for tiered comorbid conditions and 60% compliance Session 4 (35 minutes) Key requirements of the Medicare Benefit Policy Manual (MBPM) CMS’s “reasonable and necessary” criteria for IRF admissions Rehabilitation