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Inpatient Rehabilitation Facility

Medicare payment for inpatient rehabilitation facilities (IRFs) is based on a per-discharge prospective payment system (PPS). The IRF PPS payment for each patient is based on information found in the IRF-patient assessment instrument (PAI). The IRF-PAI contains patient clinical, demographic, and other information and classifies the patient into distinct groups based on clinical characteristics and expected resource needs. Separate payments are calculated for each group, including the application of case and facility level adjustments. The Centers for Medicare & Medicaid Services (CMS) updates the IRF regulation annually, with comment periods open prior to implementation of the final rule. 

AAPM&R IRF Comment Letters

IRF Final Rules

IRF Policy Issues