CMS-1671-F

This rule can be viewed from here - CMS-1671-F.

The associated files to this rule, as described below, can be downloaded from here - FY 2018 Final Rule Data Files (ZIP):

• IRF Rate Setting Final Rule (82 FR 36238)
  This file contains data for each of the 1,140 inpatient rehabilitation facilities used to estimate the policy updates in the final inpatient rehabilitation prospective payment system regulation. The methodology used to update the payment data is described in detail in the final rule.
• Case-Mix Groups, Relative Weights, and Average Length Of Stay
  Values used in the final rule (82 FR 36238) and the standard deviations from the average lengths of stay.
• IRF Wage Index Final Rule (82 FR 36328)
  These files contain the urban and rural Core-Based Statistical Area FY 2018 IRF wage index tables.
• Presumptive Compliance-3 (ICD-10-CM)
  This file contains the list of diagnoses (ICD-10-CM codes) that are used for determining presumptive compliance with the IRF 60 percent rule, effective for discharges beginning on or after October 1, 2017.
• Impairment Group Codes That Meet Presumptive Compliance Criteria-3 (ICD-10-CM)
  This file contains the list of impairment group codes that are used for determining presumptive compliance with the IRF 60 percent rule, effective for discharges beginning on or after October 1, 2017.
• Presumptive Compliance Changes 
  This file contains the list of diagnoses (ICD-10-CM codes) that have been added and/or removed from the list of diagnoses codes used for determining presumptive compliance with the IRF 60 percent rule.  (For ICD-10-CM coding updates, see /Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs and /Medicare/Coding/ICD10/2017-ICD-10-CM-and-GEMs)
• Impairment Group Code Changes
  This file contains the list of impairment group codes and their etiological diagnoses code exclusions (ICD-10-CM codes) that have been added and/or removed from the list of impairment group codes used for determining presumptive compliance with the IRF 60 percent rule.  (For ICD-10-CM coding updates, see
  /Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs and /Medicare/Coding/ICD10/2017-ICD-10-CM-and-GEMs)
• Tier Comorbidities – ICD-10-CM – Updated 8-8-2017
  This file contains the list of diagnoses (ICD-10-CM codes) that are used to determine placement in tiers for IRF discharges, effective October 1, 2017. It contains the ICD-10-CM codes, the abbreviated code labels, the appropriate tier, and any RICs for which the ICD-10-CM codes are excluded from the tiers. (Updated to reflect ICD-10-CM coding updated for October 1, 2017)
• Tier Comorbidities Changes
  This file contains the list of diagnoses (ICD-10-CM codes) that have been added and/or removed from the tier comorbidities effective October 1, 2017.