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National Medical Policy – Health Net

Medicare Benefit Policy Manual – 110 – Inpatient … Note: As of January 10, 2010,
Inpatient Rehabilitation Facility (IRF) care is only considered ….. On October 1,
2015, the ICD-9 code sets used to report medical diagnoses and inpatient.

June 30, 2014 Marilyn Tavenner Administrator Centers for Medicare …

Jun 30, 2014 … The draft IRF-PAI reflecting the proposed changes in the FY 2015 IRF PPS …
Specifically, the Medicare Benefits Policy Manual states “The.

Inpatient Rehabilitation (IPR) Care – LifeWise Health Plan of …

January 1, 2015. Revision … The facility is a Medicare certified inpatient
rehabilitation facility (IRF) or has a Medicare certified program … The patient must
be willing and able to take an active part in and benefit from intensive
rehabilitation …. Service-Payment/InpatientRehabFacPPS/Downloads/IRFPAI-
manual-2012.pdf.

GAO-05-366 Medicare: More Specific Criteria Needed to Classify …

Apr 22, 2005 … In fiscal year 2003, fewer than half of all IRF Medicare patients were admitted ….
payments are projected to grow to almost $9 billion per year by 2015. Because
….. (Medicare Benefit Policy Manual, chapter 1, Section 110.1).

here – UDSMR

Feb 4, 2015 … The 411 of IRF Documentation: This series focuses on the role of documentation
… Medicare Benefit Policy Manual: This forty-minute introductory-level workshop
… 2013, 2015 Uniform Data System for Medical Rehabilitation.

March 2014 Medicare A Newsline – Cahaba GBA

Mar 7, 2014 … The Hospital Wage Index for FY 2015 is Drawing to a. Close… … (SNF), Inpatient
Rehabilitation Facility (IRF), Home ….. Medicare Benefit Policy Manual Ch. 15-
Covered Medical and Other Health Services Section50-.

Professional Provider Office Manual – Blue Cross and Blue Shield of …

23XX6767 R06/2015 … This manual contains a general description of Benefits
that are available … 5 Medicare Part A Benefit Exhaust Claims Requirements …..
Please attach a copy of your new IRS Employer Identification Number Letter and
a …

June 12, 2015 Andrew M. Slavitt Acting Administrator … – APTA

Jun 12, 2015 … Services (CMS) Fiscal Year (FY) 2015 Hospital Inpatient …. major falls measure
for SNFs, IRFs and LTCHs is October 2016, however, ….. outpatient therapy
requirements, as outlined in the Medicare Benefit Policy Manual, for.

Medicare Bulletin – January 2015 – CGS

Dec 29, 2014 … MM8985: 2015 Annual Update to the Therapy Code List. 52 ….. “Medicare Benefit
Policy Manual,” Chapter 16, Section 10; and …. This MLN Matters® article is
intended for Inpatient Rehabilitation Facilities (IRFs), Home.

Medicare Bulletin – June 2015 – CGS

May 18, 2015 … Manual – Chapter 15, Section 40, … Coverage Determination (NCD) Software for
July 2015. 18 ….. REVISED Updated IRF-PAI Training Manual …

Summary of OIG's 2015 Work Plan – Cozen O'Connor

adverse, temporary harm events for Medicare beneficiaries in IRFs. OIG will … for
claims to assess whether the requirements of CMS' Benefit Policy Manual. 2.

January 2014 Medicare A Connection – FCSO

Jan 8, 2014 … transition, the Centers for Medicare & Medicaid Services. (CMS) announces a
national ….. Also, the Medicare Benefit Policy Manual states that.

APIC comments

Jun 24, 2014 … Fiscal Year 2015 … would result in significant benefit to Medicare beneficiaries. …
Measure (NQF #0138) for IRF settings. … manual methods of case finding and
denominator collection in facilities that have not yet migrated to.

Hurry! Hurry! Hurry! Read all About it! 2015 CPT … – MedAssets

Oct 1, 2014 … will not be published in the 2015 CPT Manual, the. AMA does not count them as
…. out-of pocket expenses and fewer Medicare benefits. Additionally, improper ….
Inpatient Rehabilitation Facilities (IRFs);. • Long-Term Care …

Medicare Monthly Review (MMR) June 2015-06 – Yale School of …

Jul 1, 2015 … Medicare Claims Processing Manual – Chapter 15, Section 40, …. FDA-approved
indication, and all CMS coverage criteria are met; and ….. MACs with a list of IRFs
not meeting the quality data reporting requirements.

SNF – U.S. Government Printing Office

Apr 20, 2015 … Medicare Program; Prospective Payment System and Consolidated Billing for
Skilled Nursing … VerDate Sep<11>2014 20:58 Apr 17, 2015 ….. Benefits
Improvement and Protection Act … IRF Inpatient Rehabilitation Facility ….. Manual
. For an MDS to be considered valid for use in determining payment,.

June 16, 2015 Andy Slavitt Acting Administrator Centers for …

Jun 16, 2015 … CBO's current coverage estimate for FY 2016, which CMS uses to reduce the
UCC DSH ….. (RUGs) in SNFs, Case Mix Groups (CMGs) in IRFs, and Home ….
Medicare Benefit Policy Manual Chapter 1 – Inpatient Hospital …

Medical Necessity – HFMA Northern California Chapter

Ch. 1, Section 10 of the Medicare Benefit Policy Manual; …. IRFs –
appropriateness of admissions and level of therapy. • LTCHs – OIG will … August
26, 2015.

effective 10/01/2014

Oct 1, 2014 … The completion of the IRF-PAI is required for every Medicare Part A … NOTE: This
manual is a guide and revisions will be made as the IRF …… Example: Mr. T is
admitted to the IRF on 8/1/2015 and is discharged on … verification to ensure
providers are meeting the intensive therapy coverage requirements,.

March 2015 NUBC Meeting Tentative updated as of 2-25-15

Mar 3, 2015 … Reopening Condition Codes (R1-R9) effective on 04/01/2015 with a April 2015
Quarterly …. See also, Pub 100-04 Medicare Claims Processing Manual, … e.g.,
refusal to reopen, reopen for coverage, reopen for ….. Home Health Agencies (
required by regulation in 2000) and IRFs (required by regulation in …



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