Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Help

About this Page

The following contact information is intended to assist providers and vendors to ask questions, troubleshoot problems, and request guidance and support. The different Help Desks and their focus areas are listed below.

Important Notice about Sending Emails to CMS

Please note that the Centers for Medicare & Medicaid Services (CMS) Quality Reporting Program (QRP) Help Desk email systems are not secured to receive protected health information or patient-level data with direct identifiers. Submitting patient-level data or protected health information may be a violation of your facilities’ policies and procedures as well as a violation of federal regulations (Health Insurance Portability and Accountability Act [HIPAA]). Do NOT submit patient-identifiable information (e.g., date of birth, social security number, and health insurance claim number) to these addresses. If you are unsure of whether the information you are submitting is identifiable, please contact your institutions’ Privacy Officer.

Help Desks Available for Provider Support for Inpatient Rehabilitation Facilities (IRFs)

1. For questions about the IRF Patient Assessment Instrument (IRF-PAI) data submission and reports:

• Accessing the Internet Quality Improvement and Evaluation System (iQIES)
• General issues related to iQIES
• Submission/validation reports
• CMG Grouper classification
• Phone: 1-800-339-9313
• E-mail: iqies@cms.hhs.gov

2. For questions about IRF quality data submitted to CMS via the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN), or NHSN Registration:

• E-mail: NHSN@cdc.gov

3. For questions related to the IRF QRP including:

• IRF QRP requirements
• Data submission timelines
• IRF-PAI Quality Indicator items
• IRF QRP assessment-based quality measures
• IRF QRP claims-based quality measures
• E-mail: IRF.questions@cms.hhs.gov

4. For questions related to Public Reporting of IRF QRP quality data on Care Compare or Provider Data Catalog (PDC) including:

• Questions related to IRF Provider Preview Reports
• IRF data available on Data.Medicare.gov
• E-mail: IRFPRQuestions@cms.hhs.gov

5. For questions about IRF Medicare reimbursement and IRF-PAI requirements (for sections other than the Quality Indicators):

• Eligibility and coverage requirements
• IRF-PAI requirements related to payment
• Impairment group codes (ICGs)
• E-mail: IRFCoverage@cms.hhs.gov

6. For questions related to the IRF QRP Reconsideration Process including:

• How to file a request if you receive a letter of non-compliance from CMS
• Deadline for filing a Request for Reconsideration
• How to dispute a finding of non-compliance with the QRP reporting requirements that can lead to a 2% payment reduction
• Requesting information about the IRF QRP payment reduction for failure to report required quality data
• Email: IRFQRPReconsiderations@cms.hhs.gov
• CMS sends informational messages to IRFs that are NOT meeting Annual Increase Factor (AIF) thresholds on a quarterly basis ahead of each submission deadline
• Email: QRPHelp@swingtech.com to receive this information
• Include your facility name and CMS Certification Number (CCN) with this request.

Listserv Available for Provider Support for IRFs

Subscribe to the Post-Acute Care (PAC) QRP listserv for the latest IRF quality reporting and the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 program information, including but not limited to training, stakeholder engagement opportunities, and general updates about reporting requirements, quality measures, and reporting deadlines.

IRF Quality Reporting Program Archives