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The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.

An IRF is considered a post-acute care facility, and conditions that are treated prior to admission to the IRF are reported with codes that include status post, history of, and late effects. The first code reported for the principal diagnosis should be from the V57.

An Inpatient Rehabilitation Facility, also known as an IRF, offers rehabilitative and therapeutic care to patients regaining function and strength following a surgical procedure, illness, or injury.

The Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) is collected on all Medicare patients who receive services from an inpatient rehabilitation unit or hospital. The data collected for IRF-PAI are used to measure quality of care.

The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.

This page provides basic information about being certified as a Medicare and/or Medicaid Inpatient Rehabilitation Facility (IRF) and includes links to applicable laws, regulations, and compliance information.

What is the IRF QRP? The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(b) of the Patient Protection and Affordable Care Act (ACA) of 2010.

An IRF is considered a post-acute care facility, and conditions that are treated prior to admission to the IRF are reported with codes that include status post, history of, and late effects. The first code reported for the principal diagnosis should be from the V57.