{"abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2015 as required by the statute. This final rule finalizes a policy to collect data on the amount and mode (that is, Individual, Concurrent, Group, and Co-Treatment) of therapy provided in the IRF setting according to therapy discipline, revises the list of diagnosis and impairment group codes that presumptively meet the \"60 percent rule\" compliance criteria, provides a way for IRFs to indicate on the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF- PAI) form whether the prior treatment and severity requirements have been met for arthritis cases to presumptively meet the \"60 percent rule\" compliance criteria, and revises and updates quality measures and reporting requirements under the IRF quality reporting program (QRP). This rule also delays the effective date for the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the \"60 percent rule\" that were finalized in FY 2014 IRF PPS final rule and adopts the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the \"60 percent rule\" that are finalized in this rule. This final rule also addresses the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), for the IRF prospective payment system (PPS), which will be effective when ICD-10- CM becomes the required medical data code set for use on Medicare claims and IRF-PAI submissions.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2014/08/06/2014-18447.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"79 FR 45872","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The updated IRF prospective payment rates are applicable for IRF discharges occurring on or after October 1, 2014, and on or before September 30, 2015 (FY 2015). In addition, the revisions to the list of diagnosis codes that are used to determine presumptive compliance under the \"60 percent rule\" that were finalized in FY 2014 IRF PPS final rule (78 FR 47860) and the revisions to the lists of diagnosis codes and impairment group codes finalized in this rule are applicable for compliance review periods beginning on or after October 1, 2015. The change to the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) form to indicate whether the prior treatment and severity requirements have been met for arthritis cases to presumptively meet the \"60 percent rule\" compliance criteria is applicable October 1, 2015. The implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD- 10-CM), for the IRF prospective payment system (PPS), is applicable when ICD-10-CM becomes the required medical data code set for use on Medicare claims and IRF-PAI submissions. The updated quality measures and reporting requirements under the IRF QRP are applicable for IRF discharges occurring on or after October 1, 2014. The two new IRF quality measures will require data submission beginning with admissions and discharges occurring on or after January 1, 2015: (1) National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-Onset Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716); and (2) National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-Onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717).","disposition_notes":null,"docket_ids":["CMS-1608-F"],"dockets":[],"document_number":"2014-18447","effective_on":null,"end_page":45936,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2014/08/06/2014-18447.xml","html_url":"https://www.federalregister.gov/documents/2014/08/06/2014-18447/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2014-18447?publication_date=2014-08-06","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2014-08-06/2014-18447/mods.xml","not_received_for_publication":null,"page_length":65,"page_views":{"count":14182,"last_updated":"2026-10-23 10:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2014-08-06/pdf/2014-18447.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2014-18447.pdf?1406837829","publication_date":"2014-08-06","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2014/08/06/2014-18447.txt","regulation_id_number_info":{"0938-AS09":{"issue":"201404","html_url":"https://www.federalregister.gov/regulations/0938-AS09/fy-2015-inpatient-rehabilitation-facility-prospective-payment-system-cms-1608-p-","title":"FY 2015 Inpatient Rehabilitation Facility Prospective Payment System (CMS-1608-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201404&RIN=0938-AS09&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS09"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"CMS-1608-F_Addendum","document_id":"CMS-2014-0057-0084"},{"title":"Posted incorrectly","document_id":"CMS-2014-0057-0004"},{"title":"Posted incorrectly","document_id":"CMS-2014-0057-0003"}],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS09/fy-2015-inpatient-rehabilitation-facility-prospective-payment-system-cms-1608-p-","title":"FY 2015 Inpatient Rehabilitation Facility Prospective Payment System (CMS-1608-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2014-0057","supporting_documents_count":3,"docket_id":"CMS-2014-0057","regulation_id_number":"0938-AS09","title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015 (CMs-1608-P)","checked_regulationsdotgov_at":"2014-08-26T06:00:11Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":45872,"subtype":null,"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015","toc_doc":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015","toc_subject":"Medicare Programs:","topics":[],"type":"Rule","volume":79}