Southwest Consulting Associates Blog

2020 Inpatient Rehab Final Rule Update

Posted by Stacie Snider on Aug 14, 2019 9:05:00 AM

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hand-4249401_1920_Image by Gerd Altmann from PixabayThe 2020 Inpatient Rehab Final Rule was published in the Federal Register August 8, 2019, and will affect discharges on or after October 1, 2019. The 2020 Rehab (IRF) Final Rule can be viewed here.


Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. and for FFY 2020, CMS has finalized the following updates to the Rehab rates:




Current Rate

Proposed Rate

Final Rate

% Change from Current Rate

Standard Rate (failed to meet Quality Standard)





Standard Rate (meet Quality Standard)





Outlier Threshold






Notable items from our review of the Rehab final rule:

  1. CMS finalized the use of the concurrent inpatient wage index for the rehab payment calculation.

  2. CMS finalized updating the relative weights for the case mix groups (CMGs) based on 2017 and 2018 data.

  3. CMS finalized new quality measures for FY 2020.

If interested, you can find our post on the FY 2020 Inpatient Rehab proposed rule here.  Additionally, the final 2020 IPPS, Psych, SNF, ESRD and Hospice rules have also been published. You can expect posts on each of these in the coming days.


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Topics: Industry Updates, regulations, final rule, provider reimbursement, inpatient rehab

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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
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