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10 Cards in this Set
- Front
- Back
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60% rule |
one of the criteria for defining a hospital as an inpatient rehabilitation facility (IRF); the 60% rule requires that at least 60% of the patients treated have at least 1 of 13 qualifying medical conditions
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case-mix group
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(CMG) any of 100 categories into which an inpatient rehabilitation stay can be classified based on data submitted on the IRF-PAI; the CMG is determined by factors such as rehabilitation impairment category (RIC), functional measurements, age, and comorbidities
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encoding
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with regard to the IRF-PAI, encoding refers to using a specific computer program to enter data that will subsequently be transmitted to the Centers for Medicare & Medicaid Services (CMS)
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Free standing rehabiliation hospitals
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inpatient rehabiliation facilities that may operate both acute and postacute rehabilitation units
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Inpatient Rehabilitation Facility Patient Assessment Instrument
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(IRF-PAI) an instrument used to gather data regarding each patient stay that will be used to determine the payment for that stay under the Medicare inpatient rehabilitation facility prospective payment system
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Inpatient Rehabilitation Facility Patient Prospective payment system
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(IRF-PPS) inpatient rehab facilities are paid for services provided to medicare beneficiaries.
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kinesiotherapist
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a person with specialized training in the proper techniques to maximize range of motion, strength, balance, and gait
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life care plan
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a dynamic document that details current and future health care needs based on published standards of practice
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physiatrist
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a physical medicine and rehabilitation physician
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psychologist
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a person trained in psychology at the doctoral level who is certified by the American Psychological Association; in rehabilitation, a psychologist tests patients to identify problems in cognition or behavior and counsels the patient and family; a master's-level counselor may also perform some of these duties |
