Announcement: Claims Matching (09/05/2014)
Follow this link for important information from the Medicare Learning Network (MedLearn) regarding the IRF-PAI claims matching system:
This article details how the Fiscal Intermediary Shared System (FISS) interacts with the Inpatient Rehabilitation Facility Prospective Payment System (IRFPPS) to validate claims prior to reimbursement. The article covers possible outcomes, including what items need to match and why claims are returned with Reason Code 37096.
Note: At the end of the article is a helpful flowchart explaining who to contact for IRF questions.
The IRF-PAI free, downloadable software, jIRVEN (Inpatient Rehabilitation Validation and Entry system), will be made available for download in
the late summer, 2012.
CMS intends to provide training specific to IRF-PAI data submission and data submission reports, in addition to jIRVEN user tool-related
training, in the late summer, 2012. Additional information related to these trainings will be forthcoming.
The Final IRF-PAI Data Submission Specifications v1.10.1, which will be in effect on 10/01/2012, are posted on the CMS website:
Please watch this page for additional updates and information related to training.
IRF-PAI Clinical Help Desk (09/01/2010)
The IRF-PAI Clinical Help Desk is available from 8 a.m. (ET) to 8 p.m. (ET) Monday through Friday. You may reach them via the contact
information below. To receive priority, please send an e-mail inquiry and include "IRF Clinical" in the subject line.
- Contact information :
- E-mail : firstname.lastname@example.org
- Phone : 800-339-9313
- Fax : 888-477-7871