Topic: Understand April 2008 pricer changes for the Inpatient Rehabilitation Prospective Payment System
HIM Connection, April 1, 2008
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CMS released Medlearn Matters article MM5965, effective April 7, which instructs Medicare contractors to do the following:
- Update the fiscal year 2008 standard payment conversion factor from $13,451 to $13,034, effective for discharges on or after April 1
- Add the default case mix group (CMG) of A9999 as a valid CMG to allow "informational only" claims for Medicare Advantage patients to be processed, effective for discharges on or after October 1, 2006
- Install and pay inpatient rehabilitation claims with the April inpatient rehabilitation facility PPS pricer.
For more information, visit www.cms.hhs.gov/transmittals/downloads/R1479CP.pdf.
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