Inpatient Rehabilitation
Inpatient Rehab Facilities (IRF)
CMS IRF-PPS payment policy, 60% rule compliance, IRFPAI documentation, physiatry, rehabilitation technology, and clinical outcomes for stroke, TBI, SCI, and amputee care.
~1,100
Inpatient Rehab Facilities
CMS certified IRFs
~400K
Annual IRF Discharges
Medicare beneficiaries
$8.7B+
Medicare IRF Spend
Annual, MedPAC 2023
≥60%
60% Rule Compliance
Required qualifying cases
Coverage Areas
Inpatient Rehabilitation Topics
Payment policy, clinical practice, technology, and workforce coverage for inpatient rehabilitation facilities, physiatrists, and the interdisciplinary rehab team.
Federal inpatient rehabilitation payment policy — IRF-PPS annual rules, case mix groups, IRFPAI coding, and CMS IRF-QRP quality reporting.
IRF Prospective Payment System (IRF-PPS)
IRFPAI Assessment Instrument
IRF Quality Reporting Program (IRF-QRP)
Annual IRF PPS Proposed & Final Rules
Compliance requirements mandating that 60% of IRF patients have one of 13 qualifying conditions — documentation, audits, and enforcement.
60% Rule — Qualifying Conditions Compliance
13 Qualifying IRF Conditions
Medical Necessity Documentation
CMS Audits & RAC Reviews
Evidence-based rehabilitation for stroke, TBI, SCI, amputee, and neurological conditions — functional recovery, motor outcomes, and intensity of therapy.
Stroke Rehabilitation & Recovery
Traumatic Brain Injury Rehabilitation
Spinal Cord Injury Rehab
Amputee & Limb Loss Rehabilitation
Team-based care in the IRF setting — physiatry, PT/OT/SLP therapy intensity, neuropsychology, rehabilitation nursing, and case management.
Physiatry & Physical Medicine (PM&R)
Physical, Occupational & Speech Therapy
Rehabilitation Nursing
Neuropsychology & Cognitive Rehab
Emerging technologies transforming inpatient rehab — robotic exoskeletons, functional electrical stimulation, VR therapy, and gait training systems.
Robotic Exoskeletons & Lokomat
Functional Electrical Stimulation (FES)
Virtual Reality Rehabilitation
Wearables & Remote Outcome Monitoring
Hospital-to-IRF admission criteria, discharge to community or SNF, readmission prevention, and IMPACT Act post-acute care coordination.
Acute-to-IRF Admission Criteria
IRF-to-Community Discharge Planning
30-Day Readmission Prevention
IMPACT Act & Interoperable Data Exchange