Total payments for inpatient rehabilitation facilities are expected to increase by $150 million in fiscal 2010 under a proposed rule issued by the CMS.
The increase reflects a 2.4% payment rate update expected for inpatient rehab hospitals next fiscal year and other proposed changes to adjust outlier payments, the agency reported. The rulemaking would apply to more than 200 free-standing inpatient rehab facilities and more than 1,000 inpatient rehab units in acute-care hospitals.
In other provisions, the proposed rule aims to clarify requirements for preadmission screening to determine whether a patient should receive rehab services in an inpatient rehabilitation facility, or in a less-intensive setting. The rulemaking also emphasizes the importance of post-admission treatment and ongoing care coordination throughout the patients stay in the inpatient rehab facility.
In order to be paid by Medicare, inpatient rehab facilities must demonstrate annually that at least 60% of their total patient population had either a principal or secondary diagnosis that falls within one or more of the qualifying conditions designated in the regulations governing inpatient rehab facilities, according to a statement from the agency.
The CMS will be accepting comments on the proposed rule until June 29. The final fiscal 2010 rulemaking is expected to be released by Aug. 1.