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IRF-PAI Completion Timing
When must the admission IRF-PAI be completed?
IRF-PAI Completion Timing
Can I complete the IRF-PAI before the patient is admitted?
IRF-PAI Completion Timing
What happens if I miss the 3-day deadline for admission IRF-PAI?
IRF-PAI Completion Timing
When should the discharge IRF-PAI be completed?
IRF-PAI Completion Timing
Can I modify the IRF-PAI after submission?
Comorbidity Counting
What counts as a comorbidity for tier assignment?
Comorbidity Counting
Does hypertension always count as a comorbidity?
Comorbidity Counting
Can I count symptoms as comorbidities?
Comorbidity Counting
Do history codes (Z-codes) count as comorbidities?
Comorbidity Counting
How do I count comorbidities for a patient with multiple related conditions?
Comorbidity Counting
What if a comorbidity develops DURING the IRF stay?
MAC Audits
What triggers a MAC audit of my IRF?
MAC Audits
What does the MAC look for during an IRF audit?
MAC Audits
How should I prepare for a MAC audit?
MAC Audits
What should I do if I receive a MAC audit request?
MAC Audits
Can I appeal a MAC denial?
60% Rule Compliance
What is the 60% Rule and why does it matter?
60% Rule Compliance
How do I calculate 60% Rule compliance?
60% Rule Compliance
What happens if we fail the 60% Rule?
Documentation Best Practices
What documentation do I need to support IRF-PAI accuracy?
Documentation Best Practices
How specific do ICD-10 codes need to be?
Documentation Best Practices
What if the physician documentation is incomplete?
FIM Scoring
Who is responsible for FIM scoring?
FIM Scoring
What's the difference between admission and discharge FIM scores?
FIM Scoring
Can FIM scores be too high or too low?
Troubleshooting
What should I do if I discover an error after submission?
Troubleshooting
How do I handle a patient with multiple qualifying diagnoses?
Troubleshooting
What if the patient is readmitted to acute care during IRF stay?
Troubleshooting
How do I code a patient who expires during IRF stay?
Troubleshooting
What resources are available if I need help with IRF-PAI coding?
Still Have Questions?
If you can't find the answer you're looking for, here are additional resources:
- • Contact your IRF-PAI Coordinator or HIM department
- • Review the CMS IRF-PAI Manual (available in Resources section)
- • Consult with your facility's compliance officer
- • Use the ICD-10 Lookup Tool and Comorbidity Counter for coding questions
- • Attend monthly IRF-PAI training sessions