IRF-PAI Information

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IRF-PAI Software Developer/Vendor Call (posted 02/03/2015)

CMS hosted an IRF-PAI informational call for IRF-PAI Software Vendors and Developers on Thursday, Jan 29, 2015. The notes from this call are available on the IRF Vendor Information page.


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:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1342.pdf

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.


Announcement: Recorded Training Sessions Available for IRFs (posted 09/07/2012)

The training recordings for the IRF-PAI Assessment Submission Process and CASPER Reports for IRFs are available for viewing on the IRF-PAI Training page.


Announcements: (05/31/2012)

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:
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/Software.html.

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 : help@qtso.com
    • Phone : 800-339-9313
    • Fax : 888-477-7871

 

 

 

 

 


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