06/03/13 Inpatient Rehabilitation Facility (IRF ... - WPS Medicare

○ IRF-PAIDocumentation during IRF stay○ Physician visits http://www.wpsmedicare.com○ Interdisciplinary team conferences○ Therapy services○ Nursing care○ Ancillary servicesTherapy ServicesCoverage requirements○ Multiple therapy disciplines• Physical therapy• Occupational therapy• Speech-language pathology• Orthotics/prosthetics• One therapy must be PT or OT○ Intensity of services• Patient requires intensity on admission• 3 hours per day / 5 days per week• 15 hours a week - 7 consecutive day period starting with day of admission ○ Required therapy treatments initiated within 36 hours• From midnight of admission date• Therapy evaluation may constitute initiation of therapyKey elements of documentation○ Components of documentation• Initial therapy evaluation• Therapy reassessments or re-evaluation• Therapy progress notes○ Supporting intensive therapy services• Include actual time○ Ability to Actively Participate• Patient able to actively participate in & benefit from IRF care- Upon admission○ Measurable Improvement• Expected to be accomplished within predetermined reasonable period of time• Goal: - Safe return to home or community-based environment - Complete independence not required • Medical record shows functional improvements are: - Ongoing and sustainable - Of practical value- Measured against patient’s condition at start of treatment2