CMS Finalized 2020 IRF Prospective Payment System Rule

Members & Publications


August 5, 2019

On July 31, CMS finalized the IRF Prospective Payment System Rule for 2020. In the final rule, CMS has deferred to the inpatient rehabilitation facility to define and assess the definition of “rehabilitation physician.”

While this is a disappointing outcome, our work is far from over. AAPM&R is taking action.

Your Academy will be convening key stakeholders across rehabilitation to establish consensus guidelines to better define the qualifications of a rehabilitation physician and set clear and necessary expectations and standards for rehabilitation. We believe physiatrists are a necessary and integral leader of the rehabilitation team within the IRF setting.

Collaboration, open dialogue, and a united voice among physiatrists will be essential to our success. In the weeks and months ahead, please be on the lookout for requests from AAPM&R to get involved and to support our efforts. AAPM&R will continue to advocate for the long-term interests of physiatrists, IRFs, Medicare beneficiaries in need of intensive, coordinated, interdisciplinary inpatient hospital rehabilitation, and the Medicare program itself.

Despite this outcome, we are immensely proud of the work more than 1,100 of our members put into advocating against this proposal being finalized. In their preamble to the final rule, CMS acknowledged the comments received from AAPM&R and other collaborators. Our members demonstrated that physiatrists are advocates for their patients, in and out of the treatment setting. 


Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.