What is an impairment group code?

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.

What are the CMS 13 diagnosis?

inpatient rehabilitation
Medicare requires that 60% of inpatient rehabilitation patients have a CMS-13 diagnosis….What to know

Amputation.
Arthritis.
Brain injury.
Burns.
Congenital deformity.
Hip fracture.
Joint replacement.

What does IRF-Pai stand for?

Inpatient Rehabilitation Facility Patient Assessment Instrument
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and IRF-PAI Manual | CMS. The .gov means it’s official.

What does CMG stand for CMS?

IRF Grouper – Case Mix Group (CMG) | CMS.

What is IRF coding?

An IRF is considered a post-acute care facility, and conditions that are treated prior to admission to the IRF are reported with codes that include status post, history of, and late effects. The first code reported for the principal diagnosis should be from the V57.

What replaced FIM scores?

CMS
CMS proposes to replace the FIMTM with function data collected pursuant to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) known as Section GG, which the agency refers to as the data items from the Quality Indicators section of the IRF PAI, as the new basis of the Case Mix Groups (CMGs) …

When Medicare runs out what happens?

Medicare will stop paying for your inpatient-related hospital costs (such as room and board) if you run out of days during your benefit period. To be eligible for a new benefit period, and additional days of inpatient coverage, you must remain out of the hospital or SNF for 60 days in a row.

Where is IRF Pai used?

The Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is collected on all Medicare patients who receive services from an inpatient rehabilitation unit or hospital. The data collected for IRF-PAI are used to measure quality of care.

What is Section GG?

Section GG is a set of standardized patient assessment elements that the Improving Post-Acute Care Transformation Act (IMPACT) mandated for collection in all post-acute care settings. The items are meant to measure functional changes in self-care and mobility and will be publicly reported in the near future.

What is MS DRG?

Defining the Medicare Severity Diagnosis. Related Groups (MS-DRGs), Version 37.0. Each of the Medicare Severity Diagnosis Related Groups is defined by a particular set of patient attributes which include principal diagnosis, specific secondary diagnoses, procedures, sex and discharge status.

How many case mix groups are there?

five case
Each patient is to be classified into one and only one group for each of the five case-mix adjusted components. In other words, each patient is classified into a PT group, an OT group, an SLP group, an NTA group, and a nursing group.

What is an impairment group code? 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. What are the CMS 13 diagnosis?…