Assessment of patient outcomes of rehabilitative care. The updated irfpai quality reporting program manual contains each of the new quality indicator sections. Jul 26, 2016 irf pai training manual 2 added support for textbooks and gave students the ability to purchase and download course textbooks that are supported. To determine 30day readmission rates and factors related to readmission for patients receiving postacute inpatient rehabilitation, ottenbacher and coauthors conducted a retrospective cohort study among 736 536 medicare feeforservice beneficiaries discharged from inpatient rehabilitation. The irf pai must be included in the patients medical record either in electronic or paper format. Changes to reporting requirements for inpatient rehabilitation facilities irfs are coming this fall, and the centers for medicare and medicaid services cms is helping providers prepare. Monday, may 23, 2016 cms offers training on coming irf changes.
Who are we and where is medical rehabilitation during a. The qis cms proposes to rely on from irfpai section gg. Irf coding inpatient rehabilitation facility coding. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. The manual includes the final version of the irf pai version 1. Lead authors on the 1995 edition of the users manual for the. We are actively responding to all phone and email inquiries. Ub foundation activities the inpatient rehabilitation facility patient assessment instrument irfpai training manual. Anterior and posterior diaphragm kinesio taping for. Predictors of 30day readmission following inpatient. Frequent errors discrepancy between irfpai codes indicating that an activity did not occur and evidence in the medical record that the activity occurred. The following signature guidelines should be utilized when completing the irfpai. Irf pai training manual even though some features seem to be still in development, this app shows great results. Previously adopted quality measure that was readopted for fy 2018 and subsequent years.
Updated section 4 quality indicators of irfpai training manual v1. Recorded training sessions how to access captions in a windows media file. The data collected for irfpai are used to measure quality of care. This video from the august 2019 inpatient rehabilitation facility irf quality reporting program qrp provider training on held august 15. Readmission after postacute rehabilitation in medicare. Cms issues new irf pai training manual october 15, 2014. Diagnostic prices and local hcpcs 2014 file layout. Irfpai guideline changes also are not included in the training manual on a timely basis. Measurement scale, impairment codes, and refinements thereto for the irf pai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Irfpai data used to calculate the assessmentbased quality measures. Set, measurement scale, impairment codes, and refinements thereto for the irfpai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Jun 22, 2016 the updated irf pai quality reporting program manual contains each of the new quality indicator sections.
Irf coding inpatient rehabilitation facility coding video alicia. Inpatient rehabilitation facility prospective payment system for federal fiscal year 2015 79 fr 45872. New irf pai training manual available from cms california. Cms provides payment for inpatient rehab facilities through casemix groups. The revised manual, attached, offers instructions for completing irf pais submitted on or after oct. Keep current irf training manual so you always want. The hai decreased from 710 on day 6 of irf physical therapy to 010 on. Jun 16, 2015 theres the irfpai training manual, you have the prospective payment system irf pps.
The irfpai must be included in the patients medical record either in electronic or paper format. Cms has updated the inpatient rehabilitation facility patient assessment instrument irfpai training manual with an effective date of october 1, 2014. Apply to program coordinator, patient coordinator, coding specialist and more. Although the irf pai questions are not as clear as the training materials released in may, 2014, the example utilized in the training manual for answering this section is critical. We linked the irfpatient assessment instrument irfpai with medicare provider. Irf joins network of accredited training organizations. Despite their differences, the mds, oasis, and irf pai impose a standard format on assessing and documenting functional status within their respective care settings. The centers for medicare and medicaid services cms released a new inpatient rehabilitation facility patient assessment instrument irf pai training manual, available from the cms web site.
As of january 10, 2010, inpatient rehabilitation facility irf care is only considered on october 1, 2015, the icd9 code sets used to report medical diagnoses and inpatient. Inpatient rehabilitation outcomes in a national sample of medicare. Effective 10012012 is the version of the impairment group. Objective to determine 30day readmission rates and factors related to readmission for patients. Cms1671f summary of final rule on august catholic health. The inpatient rehabilitation facilitypatient assessment instrument irfpai training manual effective 1001 2014 the form that became effective. The purpose of this page is to display technical information related to irf pai the inpatient rehabilitation facility patient assessment instrument data set for use in inpatient rehabilitation facilities. Measurement scale, impairment codes, and refinements thereto for the irfpai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Irfpai inpatient rehabilitation facility patient assessment instrument. Additional information and training is available on cms web. Training official site of the international road federation. Continued use of fy 2014 facilitylevel adjustment factors.
Irfpai inpatient rehabilitation facility patient assessment. The irfpai must be completed at the admission and discharge of each patient. May 23, 2016 monday, may 23, 2016 cms offers training on coming irf changes. For the admission assessment, enter the code that best. Instructions in the irfpai training manual do not address icd9cm code assignments and the use of the icd9cm coding classification system. Section 2 functionality updated 8 2014 section 3 irfpai. Collectively, all of these factors led to struggles in training staff on the new qis as well as challenges employing both sets of measures at the same time. In particular, changes in signature requirements have been identified. Inpatient rehabilitation facility patient assessment. Impact act of 2014 bipartisan bill passed on september 18, 2014, and signed into law on october 6, 2014. Inpatient rehabilitation facility patient assessment instrument irf pai the irfpai is used to gather data to determine the payment for each medicare part a feeforservice and medicare part c medicare advantage patient admitted to an inpatient rehabilitation unit or hospital.
While all clinical condition categories were defined, only those with. Udsmrs clinicians, coders, analytical services, client services, and technical support staff have teamed up to offer you a brandnew lineup of webinars. The application allows for using several different backgrounds, including existing. Program interruptions and shortstay transfers represent potential. Transformation act of 2014 requires the submission of.
The inpatient rehabilitation facility patient assessment instrument irf pai is collected on all medicare patients who receive services from an inpatient rehabilitation unit or hospital. The pas tool is designed to satisfy the requirements for preadmission screening documentation outlined in the 2010 irfpps final rule and in the 2010 revisions to the medicare benefit policy manual. Information about the aqiq irf pai manual resource tool book. The irfpai training manual cms, 2004 specifies that the admission assessment score is. Quality reporting program provider training changes to the rai manual and mds 3. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be of the highest quality. As a strong believer in continuing education, the irf provides members as well as road professionals worldwide with educational and professional development opportunities and resources. In light of the evolving covid19 situation, we want to assure you that resdac remains open for business.
Inpatient rehabilitation facility patient assessment instrument irf pai the irfpai is used to gather data to determine the payment for each medicare part a feeforservice and medicare part c medicare advantage patient admitted to an inpatient rehabilitation unit or. Browse our training catalog a tradition of excellence since 1948 as a strong believer in continuing education, the irf provides members as well as road professionals worldwide with educational and professional development opportunities and resources. Across the industry, the most common challenge for a new irf coder or drg coder hospital or agencyemployed is a lack of training for, and a clear understanding of, the following. Useful resources for understanding the irfpai 2017. Facility location and irf pai patient vaccinations must be. Thirtyday hospital readmission following discharge from postacute rehabilitation in feeforservice medicare patients. Research is needed to determine the rates and factors related to readmission in this patient population.
The inpatient rehabilitation facilitypatient assessment instrument irfpai and the irfpai training manual were created for use by facilities subject to cmss payment system for medicare inpatient rehabilitation services. Set, measurement scale, impairment codes, and refinements thereto for the irf pai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Irf pai training manual for mac allows you to quickly convert any swf files you have on your computer into high quality mp4 video files. Under help there is a list of all possible keyboard irf pai training manual as well as a link to online documentation where you can find faq and customization sections. Discuss changes to the irf pai manual that coincide with the. System maintenance and data transmission information. Removal of the 25 percent payment penalty for irfpai late submission. Irf coding inpatient rehabilitation facility coding youtube. Our global training curriculum provides technical expertise in classroom and practical. The inpatient rehabilitation facility patient assessment instrument irfpai is collected on all medicare patients who receive services from an inpatient rehabilitation unit or hospital. Irf pai and irf pai manual this page includes the current versions of the irf pai, the quality indicator section of the irf pai manual and associated documents. You can look at that and thats what you use to fill out these forms.
This page will be updated when an update is made to these resources, a newer version becomes available, or important information regarding these tools needs to be communicated. Inpatient rehabilitation facility patient assessment instrument irf. Medicare claims processing manual, chapter 23 centers for 50. Apr 05, 2020 it seamlessly integrates with the irfpai in erehabdata and informs the referrals outcomes reports. The irf pai must be completed at the admission and discharge of each patient. Overview of irf qrp and changes to the irfpai version 3. Anterior and posterior diaphragm kinesio taping was applied on day 6 of irf physical therapy in an attempt to inhibit diaphragm spasm and intractable hiccups given that pharmacologic interventions had not been effective up to that point table 3. Theres the irfpai training manual, you have the prospective payment system irf pps.
In the fy 2014 irf pps final rule 78 fr 47860, we updated the. Irfpai will be transmitted to cms for payment for all medicare and medicare. The pas tool is designed to satisfy the requirements for preadmission screening documentation outlined in the 2010 irfpps final rule and in. The data collected for irf pai are used to measure quality of care. Thirtyday hospital readmission following discharge from. Updated irfpai training manual section 2 item by item irf pai coding instructions updated to include changes that will be effective october 1, 2017 as finalized in the fy 2018 irf pps final rule. Irfpai training manual effective october 1, 2014 zip. The mds, oasis, and irf pai contain dozens of functional status items and thus offer rich insight into patients functioning in these care settings. Irf coding inpatient rehabilitation facility coding video. Page iv25 of the quality section in the newest version of the irf pai manual provides the guidance needed.
The medicare benefits policy manual was revised, effective january 2010 with an update effective january 2014, to include documentation in the medical record that demonstrates determination that an irf admission is reasonable and necessary, with a focus on the preadmission screening, the postadmission physician evaluation, the overall plan. Apr, 2016 information about the aqiq irf pai manual resource tool book. Effective 10012012 is the version of the manual that. This was pretty interesting because i had to do some research on irf coding.