Review of Inpatient Rehabilitation Facility Admissions at Wittier Rehabilitation Hospital for Calendar Year 2003

摘要

Inpatient rehabilitation facilities (IRF) provide specialized care for patients recovering from conditions requiring intensive inpatient rehabilitation therapy. Medicare covers inpatient hospital rehabilitation for beneficiaries who require a more coordinated, intensiveprogram of multiple services than is generallyprovided in a skilled nursing facility or on an outpatient basis. Among other criteria for inpatient hospital rehabilitation, Medicare requirements also state that the beneficiary must be expected to show significant practical improvement withn a reasonable period of time. Medicare paid the Hospital, which is a 74-bed IRF, almost $14.6 million for IRF services in 2003. The objective of our review was to determine whether the Hospital submitted IRF claims that met Medicare requirements.