Fed Regist. 2013 Aug 6;78(151):47859-934.
This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's "60 percent rule'' compliance calculation to determine "presumptive compliance,'' update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.
本最终规则根据法规要求，更新了2014财年住院康复机构（IRF）的预期支付费率（适用于2013年10月1日及之后、2014年9月30日及之前出院的患者）。本最终规则还修订了可计入IRF“60%规则”合规计算以确定“推定合规”的诊断代码列表，使用改进的估算方法更新IRF机构层面的调整因素，修订《住院康复机构-患者评估工具》的部分内容，修订对设有IRF科室的急性护理医院的要求，澄清IRF法规文本中关于审查限制的内容，更新法规文本中对先前更改部分的引用，并修订和更新IRF质量报告计划下的质量措施和报告要求。
