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Under the IRF PPS, each Medicare patient is assigned to a rehabilitation impairment category (RIC) based on the principal diagnosis or impairment and further classified within a RIC to a CMG based on the level of motor and cognitive function and, for some CMGs, the patient's age.

IRF-PAIs are completed during admission and discharge by a trained clinician for every patient admitted to a Tenet IRF. All patients are informed of Patient Rights and Privacy Act Notices related to the IRF-PAI before any assessment starts.

Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF – PAI) The IRF-PAI is used to gather data to determine the payment for each Medicare Part A fee-for-service and Medicare Part C (Medicare Advantage) patient admitted to an inpatient rehabilitation unit or hospital.

Inpatient rehabilitation facilities (IRFs) serve a unique and valuable role within the Medicare program by treating patients who require hospital-level care in conjunction with intensive rehabilitation. Most IRF patients transfer from a general acute-care hospital following treatment for complex conditions. •

The IRF teaching status adjustment adjusts payments to reflect the higher costs of teaching IRFs, similar to the IPPS indirect medical education (IME) adjustment. The IRF QRP is a pay-for-reporting program.

percent rule”) The compliance threshold requires that no less than 60 percent of an IRF's patient population (Medicare and other) have as a primary diagnosis or comorbidity at least one of 13 conditions that typically require intensive rehabilitation therapy.

Inpatient rehabilitation facilities (IRFs) serve a unique and valuable role within the Medicare program by treating patients who require hospital-level care in conjunction with intensive rehabilitation. Most IRF patients transfer from a general acute-care hospital following treatment for complex conditions. •

The Impairment Group Code (IGC) that best describes the primary reason for admission to the rehabilitation program. Each IGC consists of a two-digit number (indicating the major Impairment Group) followed by a decimal point and 1 to 4 additional digits identifying the subgroup.