Who We Serve
Medical Coding and HIM Services for Inpatient Rehab Facilities
Records-review support that confirms IRF admissions, documentation, and assessments meet CMS requirements.
Overview
Where Documentation Determines Eligibility
Inpatient rehabilitation facilities operate under some of the most specific documentation requirements in healthcare. Admissions must meet medical-necessity criteria for intensive rehabilitation, the preadmission screening and individualized plan of care must be complete, and the IRF Patient Assessment Instrument (IRF-PAI) must be accurate — or reimbursement and compliance are both at risk.
HMI’s specialists perform comprehensive medical-record reviews that confirm IRF admissions were appropriate to meet medical necessity and that documentation and staff services satisfied the minimum CMS requirements — from the physician admission order through the interdisciplinary team process.
The Challenge
What Inpatient Rehab Facilities Are Up Against
Medical-Necessity for Intensive Rehab
Each admission must be documented to support the need for intensive inpatient rehabilitation under CMS criteria.
IRF-PAI Completeness
The IRF Patient Assessment Instrument must be accurate and complete to support correct payment.
Required Documentation Elements
Preadmission screening, physician admission order, history and physical, individualized plan of care, and team meetings all must be in place.
Audit Exposure
Missing or incomplete required elements are a frequent source of denials and audit findings for IRFs.
How HMI Helps
How HMI Supports Inpatient Rehab Facilities
We have utilized HMI since 2002 for consultation services, and have always found their services to be professional in nature and valuable to our organization.
Frequently Asked Questions
Inpatient Rehab Facilities, Answered
What does an IRF records review include?
Do you check the IRF-PAI?
Can you help reduce IRF denials?
Are your reviewers credentialed?
Explore More
Related Expertise
Meet Every IRF Requirement
Confirm Admissions and
Documentation Hold Up
Talk with HMI about IRF records review and coding support tailored to your facility.