Inpatient Rehabilitation Facility: The Challenges of IRF Coding

Nirmala Sivakumar, CCS, CDIP


This webinar by nationally recognized IRF educator, Nirmala Sivakumar, CCS, CDIP, will prepare the learner to choose the right impairment group and etiologic diagnosis, accurately code comorbid conditions and complications, and choose the principal diagnosis on the UB-04.

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

The goal of accurate and complete IRF coding is to ensure the codes tell “the story” of the patient’s stay in rehab, capturing the severity of the patient’s condition(s) as documented in the medical record, and that the codes submitted on the IRF-PAI and UB-04 paint the same picture.

The Inpatient Rehabilitation Facility: The Challenges of IRF Coding webinar will prepare the learner to

  • Choose the right impairment group and etiologic diagnosis
  • Accurately code comorbid conditions and complications
  • Choose the principal diagnosis on the UB-04

Apply what you learn! Coding of advanced case scenarios covered during the webinar include spinal stenosis, major multiple trauma, major multiple fractures, and more!

The level of effort to complete this course, start to finish, is equivalent to 1 CEU 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 approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • Webinar format promotes engagement with challenging materials while offering independent self-study.
  • Final assessment ensures mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). 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.
  • 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:
[email protected]

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

“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

“As I have said before, Libman helps answer more real life scenarios than most education and webinars.
“As a beginning tool for new coders or anyone trying to understand the IRF-PAI for coders, I feel it is well done. The class covered the main events that bring patients to an acute rehabilitation hospital. The side by side slides were very helpful because coding acute rehab can be so confusing. The class reassured me, that I have been coding correctly, and I guess I just needed that!” — Mary Hillebran, CCS, Inpatient Medical Coding Analyst

“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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