The Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) is reshaping the landscape of rehabilitation facilities. The goal is to make sure patients get the best care possible. Rehab facilities are preparing by making sure their documentation and processes are in good standing, as the IRF RCD is about to take place in several states.

In this episode, Marjorie Mantione, Manager, Clinical Consulting, talks with Jim Peaker, Area Director Rehabilitation Services for Providence. They discuss initial findings from Alabama’s participation in the IRF RCD. They also talk about the decisions facing IRFs regarding pre-claim and post-payment reviews, along with the challenges and benefits of each option.

Join us as we discuss:

• The importance of staff bandwidth, collaboration with Health Information Management (HIM) departments and tracking submission processes
• Common reasons for non-affirmed decisions
• The need for thorough documentation to support rehab services
• Strategies for handling denials