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Revision to Chapter 3 to Update Instructions for Handling Inpatient Rehabilitation Facility (IRF) Claims

This Change Request updates instructions to Chapter 3 into the Medicare Claims Processing Manual Pub-100-04 for actions when a claim does not match the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI).

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 28, 2021

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.