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September 11, 2008

Fiscal year 2009 update to the inpatient rehabilitation facility PPS PRICER

Effective Date: October 1, 2008
Implementation Date: October 6, 2008

Summary

The fiscal year (FY) 2009 inpatient rehabilitation facility (IRF) prospective payment system (PPS) final rule published on August 1, 2008, sets forth the prospective payment rates applicable for IRFs for FY 2009. A new IRF PRICER software package will be released prior to October 1, 2008, that will contain the updated rates that are effective for claims with discharges that fall within October 1, 2008, through September 30, 2009. Medicare systems will install the new revised PRICER program in a timely manner to ensure accurate payments for the IRF PPS claims with discharges occurring on or after October 1, 2008, through September 30, 2009.

PRICER updates

For IRF PPS FY 2009, (October 1, 2008 – September 30, 2009):
The standard federal rate is: $12,958.
The fixed loss amount is: $10,250.
The labor-related share is: 75.464 percent.
The non-labor related share is: 24.536 percent.
Urban national average cost-to-charge ratio (CCR) is: 0.490.
Rural national average CCR is: 0.619.
Here is the link to the MLN Matters article MM6166 external link to pdf.
Source: CMS MLN Matters Article MM6166
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