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B-332432 1 (2020-08-21)

handle is hein.gao/gaobaebrf0001 and id is 1 raw text is: G A O U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-332432 August 21, 2020 The Honorable Chuck Grassley Chairman The Honorable Ron Wyden Ranking Member Committee on Finance United States Senate The Honorable Frank Pallone, Jr. Chairman The Honorable Greg Walden Ranking Member Committee on Energy and Commerce House of Representatives The Honorable Richard Neal Chairman The Honorable Kevin Brady Ranking Member Committee on Ways and Means House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021 Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) entitled Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021 (RIN: 0938-AU05). We received the rule on August 12, 2020. It was published in the Federal Register as a final rule on August 10, 2020. 85 Fed. Reg. 48424. The effective date of the final rule is October 1, 2020. According the CMS, the final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for fiscal year (FY) 2021. CMS states the final rule includes the classification and weighting factors for the I RF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2021, which CMS states is required by statute. CMS further stated the final rule adopts more recent Office of Management and Budget statistical area delineations and applies a 5 percent cap on any wage index decreases compared to FY 2020 in a budget neutral manner. CMS also stated the final rule amends the IRF coverage requirements to remove the post-admission physician evaluation requirement and codifies existing documentation

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