Perceptions of Inpatient Rehabilitation Changes After the Centers for Medicare and Medicaid Service 2010 Regulatory Updates Contrasted With Actual Performance

Abstract

Comparison with actual data identified that gaps exist between diagnostic category perceptions and actual diagnostic category admission performance. Regulations such as the 75%-60% rule and audit focus on non-neurologic conditions as well as actual inpatient rehabilitation facility program payment reports may have influenced respondents perceptions to change associated with the Medicare Benefit Policy Manual modifications. This disparity between perception and actual data may have implications for programmatic planning, forecasting, and resource allocation.

Early Inpatient Rehabilitation Admission and Stroke Patient Outcomes

“…Although a large policy update to the Medicare Benefit Policy Manual occurred in 2010, which included updates to the required preadmission screen, multidisciplinary group meetings, and others, previous literature did not find any difference in the types of cases, severity of cases, or outcomes because of this shift. 21 Therefore, the authors are confident that this study's time frame is appropriate for the research question at hand.…”