Cahaba GBA’s 2014 Medicare Expo. August 6-7, 2014 – Chattanooga, TN Inpatient Rehabilitation Facility (IRF)-Guidelines and Documentation As directed a copy of the presentation is available for viewing or download on the Cahaba GBA website. Disclaimer.
Cahaba GBA’s 2014 Medicare Expo
August 6-7, 2014 – Chattanooga, TN
Inpatient Rehabilitation Facility (IRF)-Guidelines and Documentation
As directed a copy of the presentation is available for viewing or download on the Cahaba GBA website
This resource is not a legal document. The presentation was prepared as a tool to assist providers and was current at the time of creation.
Responsibility for correct claims submission lies with the provider of services.
Reproduction of this material for profit is prohibited; providers are encouraged to share this education with staff.
The Affordable Care Act of 2010
Social Security Act
Centers for Medicare and Medicaid Services (CMS)
Reduce payment errors by identifying and addressing billing errors
related to coverage and coding of services
Medical Review and Education-Overview: www.cms.gov/Medical-Review/
Program Integrity Manual - Pub. 100-08 - Medical Review Program: www.cms.gov/manuals/downloads/pim83c03.pdf
Protect, Measure, Assess, Evaluate
Reviews Medical Records
Requests Medical Records
Reasonable and Necessary
Plan of care
Reasonable and Necessary Services
Patient Assessment Instrument
(Inpatient Hospital Services)
The Part A Provider Outreach and Education staff would like to thank you for participating in today’s event.
Provider Contact Center: 1-877-567-7271