lookup Detail

Topic IRF
Category Medical Necessity
Code IRF5G
Statement Documentation does not support that the intensity requirement for the minimum rehabilitation physician visits were met. The patient must require and receive a minimum of three rehabilitation physician visits each week throughout the stay. The Post-Admission Physician Evaluation (PAPE) counts as one of the rehabilitation physician visits. Refer to 42 CFR 412.622(a)(3)(iv), Medicare Benefit Policy Manual Chapter 1, Section 110.2