Inpatient Rehabilitation Facility: IRF-PAI and UB-04 Coding

Nirmala Sivakumar, CCS, CDIP

$59.00

Inpatient rehab coding presents a challenge for HIM coders, even those with many years of coding experience. While both the IRF-PAI and UB-04 forms are used by Inpatient Rehabilitation Facilities to report ICD-10-CM codes, there are several key differences. 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.

CEUs:  1
Included in eLearning Library. Price per person. Group rates available.

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.

AHIMA
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.

  • Online course promotes engagement with challenging materials while offering independent self-study.
  • Final assessment ensures mastery of material.
  • Online Flexibility! Materials available 24/7. Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Financing available through PayPal Credit.
  • Price listed is per person/per course. Group rates available upon request.

Special pricing available for groups. Train your entire team!

How Many In Your Group? Group Discount %
1 Retail Price
2-4 5% Discount
5-20 10% Discount
21+ Contact Us for Your Custom Price Quote:
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Nirmala Sivakumar, CCS, CDIP, is an IRF Coding Educator based in Pennsylvania. She has created and presented many webinars and workshops on IRF coding and improving clinical documentation. She has trained and mentored many rehab coders. She also has experience in conducting coding audits. She enjoys sharing her expertise and knowledge and has a desire to help coders and PPS Coordinators overcome the challenges of IRF PPS coding.

She has held previous positions as Health Information Management Supervisor for one of HealthSouth’s (Encompass) acute inpatient rehab hospital and as a HIM Coding Consultant at Uniform Data Systems for Medical Rehabilitation. She can be reached at [email protected] or visit www.irfcodingexplained.com.

“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

“The quality of the courses that Libman presents is excellent” — Pamela S., RN, BSN, MSN, CCDS, Director, Clinical Documentation Improvement, Sharp Healthcare

“Thank you! Your company provides outstanding service and we appreciate it!” — Jim Herren, RHIA, CCS, Parkland Health & Hospital System

“I tell everyone about Libman. I find that you have a very wide variety of choices in education that is actually needed and not so many things that aren’t really needed and can be mind boggling just trying to sift through it. Your website is well organized and everything offered is so well laid out and very informative as far as what you are getting, what I need and a very thorough write-up on everything offered. I’m so thrilled to have found your site!” — Sharon T

“I truly thank you Libman Group for your wonderful courses that have contributed to my success.” — Leslie Jay Corn, CCS, CPC, CCA/ER Coding Analyst/Boston Medical Center OR LogixHealth

“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC

“LOVEEE Libman! Very happy with the classes I’ve taken.” — Linda C.

“I love the courses at Libman Education.” — Joanne S., CCS

“Libman has exceeded my expectations so far in every way, with the content of courses, but the hands on with the instructors is one of the best and most genius things to offer! All other companies I’ve seen in my 12 years in this field do not offer this invaluable service with their education. Answers to questions on education content is something that was desperately needed, but to my knowledge, it was/is not offered anywhere else and this is what sets Libman apart from the rest. Also, your high quality education and very knowledgeable instructors.” — coding student

“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”

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