Ask the Expert Q&A

Searchable database of expert answers to common IRF-PAI coordinator questions

Showing 15 questions

Tier CodingQ#1
Can I code both Type 2 Diabetes with complications AND obesity as separate Tier 1 comorbidities?
Tier CodingQ#2
Patient has 'history of CHF' in past medical history but no current treatment. Can I code this as Tier 1?
FIM ScoringQ#3
Patient can walk 50 feet with walker but therapist supervises 'for safety.' What FIM score for locomotion?
FIM ScoringQ#4
What's the difference between FIM 5 (Supervision) and FIM 6 (Modified Independence)?
DocumentationQ#5
Physician hasn't responded to my query in 3 days. Can I submit the IRF-PAI without the answer?
DocumentationQ#6
How specific should my physician query be? Can I just ask 'Does patient have diabetes complications?'
ComplianceQ#7
What happens if I accidentally submit an IRF-PAI with an error? Can I correct it?
ComplianceQ#8
Our facility is at 58% compliance with the 60% Rule. What should I do?
ICD-10 CodingQ#9
Should I code 'acute on chronic respiratory failure' or just 'chronic respiratory failure' for COPD patient?
ICD-10 CodingQ#10
Patient has Stage 3 CKD. Is this Tier 1, 2, or 3?
Tier CodingQ#11
Patient on warfarin for atrial fibrillation. Does this qualify for Tier 1?
FIM ScoringQ#12
Patient has aphasia and can't answer comprehension questions. How do I score cognitive FIM items?
DocumentationQ#13
Nursing notes say patient is 'independent' with transfers but PT notes say 'minimal assist.' Which do I use for FIM?
ComplianceQ#14
MAC audit requested records from 2 years ago. Do I need to keep IRF-PAI documentation that long?
Tier CodingQ#15
Patient has pressure ulcer that developed in acute hospital. What tier level and how do I code it?
About This Q&A Database

This Q&A database contains expert answers to the most common questions IRF-PAI coordinators encounter in daily practice. All answers are based on CMS guidance, IRF-PAI manual specifications, and real-world best practices from experienced coordinators.

How to Use: Search by keyword or browse by category. Click any question to expand the full answer and expert tips. Print the entire database for desk reference or share specific Q&As with your team.

Can't find your question? Review the training modules, check the Common Mistakes Library, or consult with your facility's IRF-PAI expert or compliance officer.