Inpatient rehab coding presents a challenge for HIM coders, even those with many years of coding experience. Coding in an Inpatient Rehab Facility (IRF) setting is not limited to choosing ICD-10-CM codes. It also involves selecting the appropriate impairment group code (IGC), pairing it with the right etiologic diagnosis, and coding comorbid conditions and complications.
IRF coders need to be aware of the coding differences between the IRF-PAI and UB-04 in order to ensure accurate coding and reimbursement.
- The Inpatient Rehabilitation Facility (IRF) Patient Assessment Instrument (PAI) is the assessment instrument IRF providers use to collect patient assessment data for quality measure calculation and payment determination.
- The Uniform Billing Form, the UB-04, is the standard for billing all major insurance providers as well as Medicare.
Codes reported on the IRF-PAI sometimes are not the same as codes reported on the UB-04 (IRF bill). In many cases the etiologic diagnosis on the IRF-PAI and the Principal Diagnosis on the UB-04 will be different.
This webinar will help the IRF coder gain a clear understanding of IRF PPS guidelines and how ICD-10-CM coding conventions apply to the IRF setting through the use of case scenarios.
- Coding Guidelines for IRF PAI
- Coding Guidelines for UB-04
- Ten Case Scenarios to practice applying the guidelines
- Coding tips from an expert in IRF coding
The level of effort to complete this course, start to finish, is equivalent to 1 CEUs and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for the full 4-week enrollment period and we encourage you to re-review any materials that are helpful to you.
Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 1 CEU.
This course has been/will be submitted for prior approval by AHIMA. Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Special pricing available for groups. Train your entire team!
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“I have been doing IRF-PAI coding for a number of years and have attended quite a few webinars/in-person seminars to stay current on compliance. The webinar I attended with Nirmala Sivakumar through Libman Education was, by far, the most concise and easy to understand webinar I’ve attended. IRF-PAI CMG/DRG coding can be confusing, but anyone new to the field who wants to learn, this would be the webinar to take. I am looking forward to hopefully many more webinars with Ms. Sivakumar.” — Teresa Gardner
“So happy you are offering this. Nirmala is very knowledgeable and I used to really enjoy the information she shared.” — Mary Jo Morelli, RHIT
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