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Chris Cusimano Aug 2, 2024 11:54:43 AM 1 min read

CMS FFY 2025 Rehabilitation Final Rule

On July 31, 2024, CMS released the FFY 2025 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Final Rule (CMS-1804-F).

  • IRF PPS payments up 3% (3.5% market basket – 50 basis point productivity adjustment).
  • Outlier Threshold set at 3% of total payments.
  • Updated case-mix weights, average length of stay values, and wage index.
  • Transition for IRF’s losing rural adjustment due to rural to urban labor market transfer.
  • IRF Quality Reporting (QRP) update was included.
  • Public Input sought on potential creation of a Star Rating System for IRF QRP.
  • Input sought on IRF QRP measures: pain management, depression, and vaccination.
  • 2% Annual Increase Factor reduction for not meeting QRP reporting requirements.
  • Changed, Removed, and Introduces QRP assessment measures.

This Final Rule CMS-1804-F is scheduled to be published August 6, 2024.

Here is a link to the version currently on display for public inspection:
Final Rule CMS-1804-F

Here is a link to the Fact Sheet from CMS that summarize the Final Rule:
Fact Sheet CMS-1804-F