Inpatient Rehabilitation Facility (IRF) Appeals Settlement Initiative

On June 17, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a settlement opportunity for inpatient rehabilitation facilities (IRFs) willing to withdraw their pending appeals in exchange for a timely partial payment of the net payable amount of the claims.¹  This offer constitutes CMS’s most recent attempt to alleviate the backlog of appeals pending at the Office of Medicare Hearings and Appeals (OMHA) Administrative Law Judge (ALJ) stage of appeal.