Inpatient Rehabilitation Facility PPS: Contact Information
Guidance for help with the IRF patient assessment instrument (IRF-PAI).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 08, 2020
CMS Help Desk
For all questions related to recording data on the IRF patient assessment instrument (IRF-PAI), email iqies@cms.hhs.gov.
For all questions related to the IRF grouper, email IRFgrouper@cms.hhs.gov.
Helpdesk Resources for IRF Providers (2013)
Contact IRF.Questions@cms.hhs.gov
If you have questions about Quality Reporting Program & Quality Reporting Items such as:
- Pressure ulcer coding
- Pressure ulcer staging
- Wounds
- General quality reporting questions
- Other quality measures (as released)
Contact iqies@cms.hhs.gov
If you have questions about IRF-PAI data completion, submission, or validation such as:
- Accessing QIES (username and password)
- Completing the clinical items on the IRF-PAI (for non-quality related sections)
- Data/record submissions
- Submission/validation reports
- CASPER reports
Contact IRFCoverage@cms.hhs.gov
If you have questions about the IRF Coverage Requirements or Medicare payment policies such as:
- Admission requirements
- Documentation Requirements
- Therapy time requirements
- IRF Medicare reimbursement
- Claims/Billing
Contact NHSN@cdc.gov
If you have questions about the CDC or NHSN, such as:
- Centers for Disease Control (CDC) quality measures, such as Catheter Associated Urinary Tract Infections (CAUTI)
- National Healthcare Safety Network (NHSN) enrollment and reporting
Contact IRFQRPReconsiderations@cms.hhs.gov
If you have questions about the IRF Quality Reporting Program Reconsideration Process, such as:
- How to file a Request for Reconsideration if you receive a letter of non-compliance from CMS for the IRF Quality Reporting Program
- What is the deadline for filing a Request for Reconsideration?
- How to dispute a finding of non-compliance with the ACA 3004 IRF QRP reporting requirements that can lead to about a 2% payment reduction.
- Requesting information about the ACA 3004 IRF Quality Reporting Program payment reduction for failure to report required quality data
Helpdesk Resources for IRF Vendors
Contact iqies@cms.hhs.gov
If you have questions about Vendor Issues, such as:
- IRF-PAI data specifications
- VUT (vendor tool to ensure software meets CMS requirements and will pass ASAP edits)
- Technical questions related to IRF-PAI data specifications
Toll-Free Customer Service for IRF billing/payment questions
See link below to the Medicare Learning Network. A document on that page provides toll-free customer service numbers for the fiscal intermediaries and Medicare Administrative Contractors (MACs).
IRF PPS Listserv
See link below to sign up to receive information from the IRF PPS Listserv.
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.