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IRF-PAI Version 3.0 Training and Testing Credential System Now Available!

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When you decide to admit an individual for inpatient medical rehabilitation, you have done so because an IRF setting is the only safe place to address their needs. That patient cannot safely be treated in a less intensive setting. WHY? 

I'm going to go off the rails here for a moment, but stick with me... Einstein contemplated incredible phenomenon about the universe, but what he communicated to us was E=MC2.  He took unbelievably complex ideas and boiled them down to a pristine theory of relativity. If he can do that for the universe, we can do that for admission decisions! 

Our call to action, based on the latest Office of Inspector General (OIG) reports, is to communicate the complexity of our patients' impairments and resulting disabilities in a way that auditors understand why our patients require intensive services provided by clinicians with unique experience and expertise.

Our IRF-PAI coding and supporting documentation must capture all the relevant conditions that are being addressed by the program. Patients present with a constellation of effects from their disease, disorder or injury and they need to be clearly identified. For example, not all patients that have a stroke require IRF level services, but for those who do need us, there is a very good reason.Their combination of disabilities paired with medical diagnoses and need for specialized nursing care requires a level of service not available in any other setting. The challenge is to communicate this in our documentation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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