On December 15, 2020, the Centers for Medicare & Medicaid Services (CMS) proposed the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD), which would require a 100% audit and review by Medicare Administrative Contractors (MACs) of all Medicare fee-for-service IRF claims in certain states, beginning with Alabama, Pennsylvania, Texas, and California and expanding out to 17 states, three U.S. territories, and the District of Columbia. This proposal would dramatically increase physician burden in a field already subject to onerous documentation requirements and serve as an unprecedented intrusion by CMS contractors in the exercise of independent physician judgment. Additionally, we believe the RCD will compromise patient access to IRFs. Please click here for more background on AAPM&R’s participation in this issue in 2021.
There is currently a bipartisan letter circulating in the House of Representatives for sign on. This letter demonstrates that members of Congress are concerned about this Demonstration due to the burden it will place on providers and the potential to limit access to vital care. This letter will be sent to CMS Administrator Brooks-LaSure on January 13.
Please take a moment to send a pre-written email to your Congressional representatives as soon as possible, urging them to support the bipartisan letter to CMS urging the RCD to be withdrawn or to be completely revised to ensure sufficient safeguards to protect patients’ access to necessary inpatient rehabilitation care.
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