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FY 2020 Inpatient Rehab Proposed Rule Update

Posted by Stacie Snider on Apr 22, 2019 3:57:59 PM

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2020 inpatient rehab proposed ruleThe Inpatient Rehab FY 2020 Proposed Rule was put on display for public inspection on April 17, 2019. The proposed rule is scheduled to be published in the Federal Register on April 24, 2019, however, the pre-publication version can be viewed here. This IRF rule will affect discharges on or after October 1, 2019.

Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. For FY 2020, CMS has proposed the following updates to the rates:


Current Rate

Proposed Rate

% Change

Standard Rate (failed to meet Quality Standard)




Standard Rate (meet Quality Standard)




Outlier Threshold





Other notable items from our review of the Inpatient Rehab (IRF) Proposed Rule include:

  1. CMS is proposing to use the concurrent inpatient wage index for the rehab payment calculation.
  2. CMS is proposing updating the relative weights for the case mix groups (CMGs) based on 2017 and 2018 data.
  3. CMS is proposing new quality measures for FY 2020.

Public comments can be submitted through 5 pm EST on June 17, 2019. Stay tuned for our upcoming posts covering the highlights of the proposed rules - subscribe to the blog below:

Southwest Consulting Associates Worksheet S-10 blog


Topics: proposed rule, provider reimbursement, inpatient rehab

About This Blog

The climate of provider reimbursement is ever-changing and this blog is intended to keep you up-to-date on the latest information regarding:

  • DSH Reimbursement
  • 340B Pharmacy Drug Discount Program
  • Compliance Issues
  • Litigation Surrounding Provider Reimbursement

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