Local Coverage Decision for Inpatient Rehabilitation Facility Services Division members in inpatient rehabilitation facilities/units (IRFs) should be pleased to know that a recent draft local coverage decision (LCD) for IRF services is an accurate representation of national Medicare policy. This is a positive development, considering that prior draft LCDs on this topic diverted from national policy considerably. ... Article
Article  |   June 01, 2005
Local Coverage Decision for Inpatient Rehabilitation Facility Services
Author Affiliations & Notes
  • Mark Kander
    Health Care Regulatory Analysis, ASHA
Article Information
Healthcare Settings / Professional Issues & Training / Articles
Article   |   June 01, 2005
Local Coverage Decision for Inpatient Rehabilitation Facility Services
SIG 11 Perspectives on Administration and Supervision, June 2005, Vol. 15, 18. doi:10.1044/aas15.2.18
SIG 11 Perspectives on Administration and Supervision, June 2005, Vol. 15, 18. doi:10.1044/aas15.2.18
Division members in inpatient rehabilitation facilities/units (IRFs) should be pleased to know that a recent draft local coverage decision (LCD) for IRF services is an accurate representation of national Medicare policy. This is a positive development, considering that prior draft LCDs on this topic diverted from national policy considerably. The full draft LCD, “Inpatient Rehabilitation” may be viewed at http://www.iamedicare.com/Provider/policy/draft/DL19807.htm.
The draft by the Medicare intermediary for Alabama, Iowa and South Dakota (Cahaba) states clearly that the IRF setting is appropriate for patients who require:
One national coverage requirement has been criticized by the rehabilitation community as subjective and non-specific:
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