The Review Choice Demonstration (RCD) project for Inpatient Rehabilitation Facilities (IRF) seemed like a pipe dream when the Centers for Medicare & Medicaid Services (CMS) started talking about it even before the Pandemic. But, now it is in full swing in Alabama and Pennsylvania. Texas and California are slated to be next in the roll out.  If you are listed and bill as an Inpatient Rehabilitation Facility (IRF) or an Inpatient Rehabilitation Unit (IRU) in Pennsylvania,
The 2025 Proposed Rule was released on July 10, 2024. There will be significant changes in operations practice for Physical Therapy (PT) and Occupational Therapy (OT).  There will need to be modifications to the Medicare Benefit Policy Manual (MBPM) Section 220, if the rule is finalized in November 2024, to be effective 1/1/2025. The press release for the 2025 Proposed Rule provides specifics. Here are two of the therapy changes that were outlined in the proposed rule:
With the General Compliance Program Guidance updates released in November 2023, we wanted to take the 7 elements of a compliance program and break it down. What are the 7 elements? Why are they important and how can these elements be implemented? Recap elements 1-4 on Part 1 & elements 5-7 will be reviewed below. 5. Enforcing Standards: Consequences and Incentives Part of a compliance program includes creating and applying uniform disciplinary actions for non-compliance