IRFs can breathe easier; no change in policy.
CMS has clarified the question of counting minutes of therapy provided by students.
The Inpatient Rehabilitation Facility (IRF) world reacted in shock to an unexpected statement made during a November Medicare Learning Network call wherein a Centers for Medicare & Medicaid Services (CMS) staffer responded to a listener’s question related to counting minutes of therapy provided by a therapy student with guidance that these minutes would not count, regardless of the level of supervision.
Following that call, the therapy professional associations –the American Physical Therapy Association (APTA), American Occupational Therapy Association (AOTA), and the American Speech and Hearing Association (ASHA) –- requested a meeting with CMS to address their concerns.
During the meeting on Dec. 11, CMS representatives indicated that there had been no change in policy related to the provision of therapy services – and, more importantly, related to student participation – during 2018. In a follow-up letter to the associations earlier this week, CMS clarified that its current policy does not prohibit therapy services furnished by a therapy student, under the appropriate supervision of a qualified therapist or therapy assistant, from counting toward the intensive rehabilitation therapy program.
As IRFs breathe easier about this issue, it’s important to remember the following:
Program Note:
Angela Phillips will report this story on Monitor Monday, Jan. 14, 10 a.m. ET.
For decades, case mix index (CMI) has been the default metric used by hospitals to evaluate the financial impact of clinical documentation integrity (CDI) departments.
Today we’re talking about a major shift in Medicare rules that’s going to impact hospitals, surgeons, and physician advisors alike: the phasing out of the
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