Inpatient Rehabilitation Facility (IRF)


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BRS supports the following payment policies for IRF services:

  • List of Acute Inpatient Rehabilitation Hospitals by facility, searchable by National Provider (NPI), 6-character CMS Certification Number (CCN) and facility name
  • Claims priced in accordance with the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
  • Case Mix Group (CMG) based payment
  • CBSA based wage index adjustment
  • Type of Bill logic
  • Late Assessment Penalty (LAP) applied when due
  • Outlier add-on for exceptionally costly stays calculated using the provider-specific cost-to-charge (CCR) ratio
  • Special CMG pricing for when the patient expires and for exceptionally short stays
  • LIP adjustment
  • Teaching adjustment
  • Rural adjustment