Qualifying Conditions for Inclusion of Patients in the IRF Compliance Percentage

Patients who have one or more of the following conditions as either a principal or secondary diagnosis may be counted toward an IRF's compliance percentage:

*Stroke
*Spinal cord injury
*Congenital deformity
*Amputation
*Major multiple trauma
*Fracture of femur (hip fracture)
*Brain injury
*Neurological disorders
*Burns
*Arthritis-related medical conditions (three types specified in regulation)
*Knee or hip joint replacement if (1) it was bilateral, (2) the patient's BMI was greater than 50, or (3) the patient was 85 or older

For more information, please visit www.cms.gov.

 

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For questions regarding Regulatory Compliance, please email us at: information@signethealth.com