HealthStream Brands

Rehabilitation Service Compliance

Post-acute facility care provided by Inpatient Rehabilitation Facilities (IRFs) accounts for billions of dollars in Medicare expenditures. As a result, rehabilitation facilities are experiencing increased government scrutiny for fraud and abuse. Inpatient Rehabilitation Facilities must comply with a plethora of complex regulations. Comprehensive Outpatient Rehabilitation Facilities (CORFs) are also challenged by reimbursement rules with specific requirements for services provided and the documentation to support them. The consequences for failing to comply with regulations can be costly, potentially resulting in the loss of revenue and enforcement actions.

The first step in maintaining compliance with regulations and reducing risk is to provide annual updated, expert compliance education to all staff members. This engaging, multimedia online course from HCCS will educate staff on the regulations and compliance issues specific to both IRFs and CORFs.

1 to 100 Learners?

Number of Learners:

More than 100 learners?

Course Outline

  • Inpatient Rehabilitation Facility Compliance
    • Potential consequences of weak documentation
    • Criteria for IRF classification
      • Participation requirements
      • 60 percent rule
    • Care requirements
      • Three-hour rule
      • Physician duties
    • Documentation requirements
      • Plan of Care
      • Documentation of IRF services
    • Common errors
      • Failure to support medical necessity
      • Coding errors
    • Government enforcement actions
  • Comprehensive Outpatient Rehabilitation Facility Compliance
    • Criteria for CORF classification
      • Physician services
      • Physical therapy services
      • Social and/or psychological services
      • Optional services
    • Care requirements
      • Plan of Care
    • Documentation referrals
      • Orders and referrals
      • Plan of Care
      • Certification and recertification

Target Audience

  • Hospital Administrations
  • Rehab Directors
  • Rehab Facility Administration/Management
  • Billing and Coding Staff
  • Medical Records Staff
  • Physicians
  • Non-Physician Patient Care Staff
  • Case Managers
  • Utilization Review Staff