Official Medicare site. The patient is extremely obese with a Body Mass Index of at 50 at the time of admission to the IRF. What Constitutes an IRF vs. a Skilled Nursing Facility. All other diagnoses will be considered on a case by case basis and demonstrate the need for ASCA. Find Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. AUSA. Accredited Standards Committee. Patients live at the inpatient facility and receive intensive daily therapy to help strengthen and repair their bodies. In regard to occupational therapy servicing the rehabilitative patient within the acute inpatient rehab unit (ARU) setting -also known as an inpatient rehab facility (IRF)-, the occupational therapy practitioner can play an integral role in contributing to positive and functional outcomes. American Society of Anesthesiologists. For patients who are seeking rehabilitation services, there are typically two options to select: Acute Rehab or Skilled Nursing Facility. Including budget neutrality adjustments, the standard payment conversion factor will increase from $16,021 in FY Patients who are admitted must be able to tolerate an intensive level of rehabilitation services and benefit from a team approach. ASCQR. AWAS. An IRF provides intensive, innovative therapeutic and rehabilitative care to help patients regain functions after a severe injury or illness. Appropriate Patient Placement 2. Shower/Bathe Self is only reported in IRF, SNF, and HH. In addition, Medicare compensates the facility differently. The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Definitions of Skilled and IRF Care Definition of Definition of the Skilled Rehabilitation Care Nursing Care: The Inpatient Rehabilitation Facility (IRF) provides The SNF provides services to an inpatient intermittent and/or daily who needs a relatively skilled care … ARU. Acute Rehab vs. SNF Patients have various options to meet their rehabilitation needs, however it is essential that they be educated on the differences in those options. The generally accepted standard of care is one on one therapy, generally consisting of 3 hours per day, 5 days per week. Differences between inpatient rehabilitation & skilled nursing care 1. ASP. F Upper Body Dressing* The ability to dress and undress above the waist; including fasteners, if applicable. Skilled Nursing Facility. In certain well-documented cases, this intensive rehabilitation might consist of at least 15 hours of therapy within a 7 consecutive day period, beginning with the date of admission to the IRF. G Lower Body Dressing* The IRF PPS update factor for FY 2020 is 2.5 percent, reflecting a market basket increase (+2.9 percent) and the required multifactor productivity adjustment (-0.4 percent). Sub-acute rehab is a short stay inpatient service designed for patients who no longer need acute care or comprehensive inpatient rehabilitation but are not yet able to function at their best and require continued medical management. Sub-Acute Rehab vs. hospital admission immediately preceding the IRF admission b. ASC. Ambulatory Surgical Center. c. The patient is age 85 or older at the time of admission to the IRF. Ambulatory Surgical Center Quality Reporting Program. ASC. Whether you are transferred to an IRF or a skilled nursing facility is an important distinction because Medicare covers a different number of days for an IRF than it does for skilled nursing, and you pay a different co-payment. Assistant United States Attorney. Audio/Automated Response Unit. An IRF is a hospital, or part of a hospital, that provides an intensive rehabilitation program to inpatients. ASA. Administrative Simplification Compliance Act. Average Sales Price. 13. TriHealth Rehabilitation Hospital 2155 Dana Avenue Cincinnati, OH 45207 Phone: (513) 601-0600 Fax: (513) 601-0601 Does not include transferring in/out of tub/shower.