United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2020_register executive 2020-04-21 article Proposed Rules D09002ee1c7b7b3ec D09002ee1c7b7b44a United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2021. As required by statute, this proposed rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2021. We are proposing to adopt the most recent Office of Management and Budget statistical area delineations and apply a 5 percent cap on any wage index decreases compared to FY 2020 in a budget neutral manner. We are also proposing to amend the IRF coverage requirements to remove the post-admission physician evaluation requirement and codify existing documentation instructions and guidance. Additionally, we are proposing to amend the IRF coverage requirements to allow non-physician practitioners to perform certain requirements that are currently required to be performed by a rehabilitation physician. 85 FR 22065 https://www.govinfo.gov/app/details/FR-2020-04-21/2020-08359 2020-08359 fr21ap20-18 RIN 0938-AU05 4120-01-P CMS-1729-P https://www.govinfo.gov/app/details/FR-2020-04-21/2020-08359 https://www.govinfo.gov/content/pkg/FR-2020-04-21/html/2020-08359.htm https://www.govinfo.gov/content/pkg/FR-2020-04-21/pdf/2020-08359.pdf Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements 35 p. 22065 22099 85 FR 22065 Title 42 Part 412 42 CFR Part 412 RIN 0938-AU05 Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021; Federal Register Vol. 85, Issue PRORULE 2020-08359 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2020-06-15 CMS-1729-P 4120-01-P 2020-08359 Proposed rule.

This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2021. As required by statute, this proposed rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2021. We are proposing to adopt the most recent Office of Management and Budget statistical area delineations and apply a 5 percent cap on any wage index decreases compared to FY 2020 in a budget neutral manner. We are also proposing to amend the IRF coverage requirements to remove the post-admission physician evaluation requirement and codify existing documentation instructions and guidance. Additionally, we are proposing to amend the IRF coverage requirements to allow non-physician practitioners to perform certain requirements that are currently required to be performed by a rehabilitation physician.

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on June 15, 2020. Gwendolyn Johnson, (410) 786-6954, for general information. Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements http://www.bls.gov/mfp http://www.bls.gov/ooh/healthcare/home.htm http://www.cms.gov/ElectronicBillingEDITrans/ http://www.cms.gov/manuals/downloads/clm104c25.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/Software.html http://www.regulations.gov http://www.whitehouse.gov/sites/default/files/omb/assets/omb/circulars/a004/a-4.pdf https://del.cms.gov/DELWeb/pubHome https://www.bls.gov/oes/current/oes_nat.htm https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/index https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/index?redirect=/InpatientRehabFac https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/IRF-Rules-and-Related-Files.html https://www.cms.gov/medicare/quality-safety-oversight-general-information/iqies https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs.html https://www.cms.gov/Research-Statistics-Dataand-Systems/Statistics-Trends-andReports/MedicareProgramRatesStats/MarketBasketResearch.html https://www.federalregister.gov/documents/2019/09/30/2019-20732/medicare-and-medicaid-programs-revisions-to-requirements-for-discharge-planning-for-hospitals https://www.healthit.gov/isa https://www.sba.gov/sites/default/files/2019-08/SBA%20Table%20of%20Size%20Standards_Effective%20Aug%2019%2C%202019_Rev.pdf https://www.whitehouse.gov/wp-content/uploads/2018/09/Bulletin-18-04.pdf https://www.whitehouse.gov/wp-content/uploads/2020/03/Bulletin-20-01.pdf Vol. 85, no. 77 Office of the Federal Register, National Archives and Records Administration 2020-04-21 continuing daily deposited born digital 343 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2020-04-21 P0b002ee1a6cbdcac 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr21ap20 https://www.govinfo.gov/app/details/FR-2020-04-21 https://www.govinfo.gov/content/pkg/FR-2020-04-21/pdf/FR-2020-04-21.pdf https://www.govinfo.gov/content/pkg/FR-2020-04-21/xml/FR-2020-04-21.xml fdlp 22009 22342 DGPO 2020-04-21 2024-05-30 FR-2020-04-21 machine generated eng FR FR-2020-04-21 85 77