Irfpai inpatient rehabilitation facilitypatient assessment instrument. Educational opportunities for coding requirements for the irf pps are limited and may be focused on just igc. The irf pai manual references these definitions for coding the irf pai in section ii. New irf pai training manual available from cms california. The same would be true if the irf could not access a car during the assessment period. The years listed reflect the most recent full year available from the ccw. The data collected for irf pai are used to measure quality of care. Question do rates of successful community discharge after inpatient rehabilitation vary across us facilities and geographic regions. This shows the new irf pai form that will be in use on october 1.
Simplifying data management for bmt programs and cell therapy labs. Inpatient rehabilitation facility patient assessment instrument irf pai the irfpai is used to gather data to determine the payment for each medicare part a feeforservice and medicare part c medicare advantage patient admitted to an inpatient rehabilitation unit or hospital. Atient assessment instrument pai the information in the irf pai must. Number of words repeated after first attempt irf 305. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Collectively, all of these factors led to struggles in training staff on the new qis as well as challenges employing both sets of measures at the same time. The purpose of this page is to display technical information related to oasis the outcome and assessment information set data set for use in home health agencies hhas cmsnet submission access. Oct 21, 2014 the irf pai manual references these definitions for coding the irf pai in section ii. The revised manual, attached, offers instructions for completing irf pais submitted on or after oct. Overview of irf qrp and changes to the irfpai version 3.
This video from the irf qrp provider training held may 18 and 19, 2016, provides guidance on section h of the irf pai v1. Anyone other than a facility subject to the payment system who wishes to use the irf pai or the training manual should contact such. The etiological diagnosis code is the code for the acute condition responsible for the admission to the irf. The irf pai and the training manual contain proprietary material that was incorporated with the express permission of the owners. Cms plans to issue additional manual revisions in the future to address changes that will be required beginning oct. The revised training manual only covers the changes made to the irf pai. 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. Irfpai inpatient rehabilitation facility patient assessment.
Measurement scale, impairment codes, and refinements thereto for the irfpai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Downloads irf cdc submission guidance january 2019 pdf, 101kb irf pai training manual v2. Facility prospective payment system for federal fiscal year 2016. Effective 40104 for patient assessments performed when a patient is admitted on or after april 1, 2004, the irf pai training manual. The primary focus of this trainthetrainer event will be to provide those responsible for training staff at irfs with information about irf qrp changes and updates to the inpatient rehabilitation facilitypatient assessment instrument irf pai v. Updated irfpai training manual available california hospital.
Nov 28, 2016 coding the irfpai under icd10 is the same as it was using icd9 codes. It seamlessly integrates with the irfpai in erehabdata and informs the referrals outcomes reports. The purpose of this page is to display technical information related to oasis the outcome and assessment information set data set for use in home health agencies hhas minimum system requirements for home health agencies, hospice providers, long term care facilities, inpatient rehabilitation facilities and long term care hospitals. Apply concepts to practice scenarios and group discussion. Sep 01, 2016 this video from the irf qrp provider training held may 18 and 19, 2016, provides guidance on section k of the irfpai v1. This manual is an exact translation of the codes provided in latest cms publication of section 6 of the cms irf. Irf coding for icd10 and the tricky seventh character. Ltch and irf dry run readmission reports available. Useful resources for understanding the irfpai 2017 mediware. Temporal orientation able to report correct month irf 307. Irf pai training manual updated with information on new items effective october 1, 2015. Patients who are admitted must be able to tolerate an intensive level of rehabilitation services and benefit from a team approach.
Cms has also made available a youtube video slideshow from the january 2015 national provider call that focused on training providers how to code and complete these. Temporal orientation able to report correct day of week. Inpatient rehabilitation facilitypatient assessment instrument. The centers for medicare and medicaid services cms finalized a new therapy information section on the inpatient rehabilitation facility irf patient assessment instrument pai in the fiscal year fy 2015 irf prospective payment system pps final rule on january 12, 2017, from 1.
Section 4 provides updates to sections gg, j, and o that will be required beginning october 1, 2016. Irf pai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. However, taking this approach is a deviation from cms direct instruction and a misuse of the irf pai instrument. The irf will run cp3p certification programs year round at its newly launched global training institute, as well as ondemand in different locations globally. Cms offers training for irf, snf quality reporting. Updated sections of the irf pai manual effective date 1001 2016 are in a zip file. The updated irfpai quality reporting program manual contains each of the new quality indicator sections. Read more about what is next for the ehr incentive programs.
The etiologic diagnosis on the irf pai will also differ in most cases from the principal diagnosis on the ub04. Monday, may 23, 2016 cms offers training on coming irf changes. Inpatient rehabilitation facility reference booklet. Findings in this cohort study of 487 862 medicare feeforservice beneficiaries discharged from 1154 inpatient rehabilitation facilities submitting claims, riskstandardized rates of successful community discharge. Who are we and where is medical rehabilitation during a time. Measurement scale, impairment codes, and refinements thereto for the irf pai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. Fy 2016 irf quality reporting program submission deadline. Discuss the experiences of the facilities involved in a pilot of section gg. Sep 01, 2016 this video from the irf qrp provider training held may 18 and 19, 2016, provides guidance on section h of the irfpai v1. It seamlessly integrates with the irf pai in erehabdata and informs the referrals outcomes reports. Changes to reporting requirements for inpatient rehabilitation facilities irfs are coming this fall, and the centers for medicare and medicaid services cms is helping providers prepare.
Updated section 4 quality indicators of irfpai training manual v1. System maintenance and data transmission information. Inpatient rehabilitation facility irf pai providers. Updated sections of the irf pai manual effective date 10012016 are in a zip file here. The irfpai has different guidelines than the ub04 forms. The irf pai training manual published by centers for medicare and medicaid services cms should be used as a reference when coding the etiology. The pas tool is designed to satisfy the requirements for preadmission screening documentation outlined in the 2010 irf pps final rule and in the 2010 revisions to the medicare benefit policy manual. The primary focus of the webinar is to provide additional training and guidance on correct data collection and submission procedures for the irf pai 1. Irfpai and irfpai manual this page includes the current versions of the irf pai, the quality indicator section of the irf pai manual and associated documents. Discuss changes to the irf pai manual that coincide with the. Training official site of the international road federation. Correspond with all of the information provided in the patients irf medical record. Irf and the qatar transportation and traffic safety center at qatar university have partnered to deliver a cycle of of road safety training programs in 2016 2017. Oct 22, 2018 the irf pai training manual published by centers for medicare and medicaid services cms should be used as a reference when coding the etiology.
During the writing of this manual, the author found information that was inconsistent with expectation andor icd. The 2016 irfpai section has a number of documents that are helpful to understanding the upcoming changes. Under help there is a list of all possible keyboard irf pai training manual as well as a link to online documentation where you can find faq and customization sections. Predictors of 30day readmission following inpatient. Updated irfpai training manual january 29, 2016 by rick gawenda leave a comment the centers for medicare and medicaid services cms has released the patient assessment instrument pai training manual v1. Jul 26, 2016 irf pai training manual 2 added support for textbooks and gave students the ability to purchase and download course textbooks that are supported. Revised 120115 effective 0101 2016 provider manual is updated monthly. Revisions to the language in the table of contents, section 7. Inpatient rehabilitation facility irfpai providers. Jul 10, 2015 the updated irf pai training manual, helpful resources document and section 2 item by item coding instructions are located in the downloads section of the irf pai web page. The 2016 irfpai section has a number of documents that are helpful to.
The train the trainer event for snf providers will take place aug. Inpatient rehabilitation facility patient assessment. Irf coding inpatient rehabilitation facility coding video. Irf pai training manual 2 added support for textbooks and gave students the ability to purchase and download course textbooks that are supported. Facility patient assessment instrument irfpai, which is required by the. Inpatient rehabilitation facility irf an irf is a hospital, or part of a hospital, that provides an intensive rehabilitation program to inpatients. Irf pai training manual, section gg, page gg2 it may be tempting to crosswalk patients fim scores into their functional abilities and goals. When walking not walking walking in the parallel bars is not acceptable when scoring walking for the gg section of the irf pai. Facility and geographic variation in rates of successful. Dec 15, 2014 inpatient rehabilitation facility irfpai providers the purpose of this page is to display technical information related to irf pai the inpatient rehabilitation facility patient assessment instrument data set for use in inpatient rehabilitation facilities. No functional abilities crosswalk mediware information. For the 20152016 influenza season, the influenza vaccination. Irf pai training manual updated in preparation for october.
Good data management is required to maintain quality and process control, evaluate therapies, and to meet regulatory requirements for bmt programs. Instructions in the irf pai training manual do not address icd9cm code assignments and the use of the icd9cm coding classification system. The pas tool is designed to satisfy the requirements for preadmission screening documentation outlined in the 2010 irfpps final rule and in the 2010 revisions to the medicare benefit policy manual. The motor function subscale includes activities, such as walking, transferring from bed to chair, bathing, dressing, and toileting. The updated sections of the training manual are located on the irf pai web page under downloads. The 2016 irf pai section has a number of documents that are helpful to understanding the upcoming changes. I would print and staple the january clarification to the manual until a matching manual definition is published at cms. Updates available for irf patient assessment instrument. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be of the highest quality. The centers for medicare and medicaid services cms recently issued a revised inpatient rehabilitation facility patient assessment instrument irf pai training manual.
Irf accredited to deliver ppp training official site of the. This shows the new irfpai form that will be in use on october 1. Who are we and where is medical rehabilitation during a. The irf pai must be included in the patients medical record either in electronic or paper format. Inpatient rehab facility coding picking the etiologic. The irf pai must be completed at the admission and discharge of each patient. So, the training that you do get is training not how to code, like you would get with icd9 training.
Coding the irf pai under icd10 is the same as it was using icd9 codes. The updated irf pai quality reporting program manual contains each of the new quality indicator sections. Pressure injuries caused by medical devices and other objects. Previously adopted quality measure that was readopted for fy 2018 and subsequent years. Irf pai guideline changes also are not included in the training manual on a timely basis. Cms offers training for irf, snf quality reporting programs. Effective 40104 is the version of the manual that must be used when performing the patient assessment and recording that assessment data on the irf pai. Its just about pretty much how to fill out these forms. Codes for the history of the condition or a late effect or aftercare are only reported if there was a prior inpatient rehabilitation program completed for. Anyone other than a facility subject to the payment system who wishes to use the irf pai or the training manual should contact such owners prior to any such use. The irf pai has different guidelines than the ub04 forms. Cms posts clarifications to newly added irf pai sections.
Identify cmss clarifications to the quality indicator section ofthe irf pai training manual. May 23, 2016 monday, may 23, 2016 cms offers training on coming irf changes. This page will be updated when an update is made to these resources, a newer version becomes available, or important information regarding these tools needs to be communicated. The revised training manual only covers the changes made to the irf pai, including. The centers for medicare and medicaid services cms has released the patient assessment instrument pai training manual v1. Sep 10, 2015 function status items are administered by physical therapists or occupational therapists at admission and within 36 hours of discharge as part of the irf pai.