evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
Enter the SSI ratio used to determine if the hospital qualifies for a disproportionate share adjustment and to determine the size of the capital and operating DSH adjustments.  28 115-118 V9(4)  Medicaid Ratio  Enter the Medicaid ratio used to determine if the hospital qualifies for a disproportionate share adjustment and to determine the size of the capital and operating DSH adjustments.  29 119 X(1)  Provider PPS Period  This field is obsolete as of 4/1/91.  Leave Blank for periods on or after 4/1/91.  30 120-125  9V9(5)   Special Provider Update Factor  Zero -fill for all hospitals after FY91.  This Field is obsolete for hospitals as of FY92. Effective 1/1/2018, this field is used for HHAs only.  Enter the HH VBP adjustment factor provided by CMS for each HHA. If no factor is provided, enter 1.00000.  31 126-129 V9(4)  Operating DSH  Disproportionate share adjustment Percentage.  Pricer calculates the Operating DSH effective 10/1/91 and bypasses this field.  Zero -fill for all hospitals 10/1/91 and later.  32  130-137  9(8)  Fiscal Year End   This field is no longer used.  If present, must be CCYYMMDD.  33 138  X(1)  Special Payment Indicator Enter the code that indicates the type of special payment provision that applies.  Blank = not applicable Y = reclassified  1 = special wage index indicator  2 = both special wage index indicator and reclassified  D = Dual reclassified  Data Element  File Position  Format  Title  Description  34 139 X(1)   Hospital Quality Indicator  Enter code to indicate that hospital meets criteria to receive higher payment per MMA quality standards. Blank = hospital does not meet criteria  1 = hospital quality standards have been met 35 140-144 X(5)  Actual Geographic Location  Core -Based Statistical Area (CBSA)  Enter the appropriate code for the CBSA 00001-89999, or the rural area, (blank (blank) (blank) 2 digit numeric State code such as _ _ _ 36 for Ohio, where the facility is physically located.  36   145-149  X(5)   Wage Index Location CBSA
(Medicare Claims Processing Manual)
145-149  X(5)   Wage Index Location CBSA  Enter the appropriate code for the CBSA, 00001-89999, or the rural area, (blank)(blank) (blank) (2 digit numeric State code) such as _ _ _ 3 6 for Ohio, to which a hospital has been reclassified due to its prevailing wage rates.  Leave blank or enter the actual location CBSA (field 35), if not reclassified.  Pricer will automatically default to the actual location CBSA if this field is left blan k. 37 150-154  X(5)   Payment CBSA   Enter the appropriate code for the CBSA, 00001-89999 or the rural area, (blank) (blank)(blank) (2 digit numeric State code) such as _ _ _ 3 6 for Ohio, to which a hospital has been reclassified.  Leave blank or enter the actual location CBSA (field 35) if not reclassified.  Pricer will automatically default to the actual location CBSA if this field is left blank  38 155-160 9(2)V9(4)  Special Wage Index  Enter the special wage index that certain providers may be assigned.  Enter zeroes unless the Special Payment Indicator field equals a 1 or 2.  39 161-166  9(4)V9(2)   Pass Through Amount for Capital   Per diem amount based on the interim payments to the hospital.  Must be zero if location 185 = A, B, or C (See the Provider Reimbursement Manual, 2405.2).  Used for PPS hospitals prior to their cost reporting period beginning in FY 92, new hospitals during their first 2 years of operation FY 92 or later, and non -PPS Data Element  File Position  Format  Title  Description  hospitals or units.  Zero -fill if this does not apply.  40 167-172 9(4)V9(2)  Pass Through Amount for Direct Medical Education  Per diem amount based on the interim payments to the hospital (See the Provider, Reimbursement Manual, 2405.2.).  Zero-fill if this does not apply.  41 173-178  9(4)V9(2)   Pass Through Amount for Organ Acquisition
(Medicare Claims Processing Manual)
9(4)V9(2)   Pass Through Amount for Organ Acquisition   Per diem amount based on the interim payments to the hospital.  Include standard acquisition amounts for kidney, heart, lung, pancreas, intestine and liver transplants.  Do not include acquisition costs for bone marrow transplants.  (See the Provider Reimb ursement Manual, 2405.2.)  Zero-fill if this does not apply.  42 179-184  9(4)V9(2)   Total Pass Through Amount, Including Miscellaneous   Per diem amount based on the interim payments to the hospital (See the Provider Reimbursement Manual 2405.2.)  Must be at least equal to the three pass through amounts listed above.  Include pass through amount for Domestic N95 Respirator Procurement. The following are included in total pass through amount in addition to the above pass through amounts.  Certified Registered Nurse Anesthetists (CRNAs) are paid as part of Miscellaneous Pass Through for rural hospitals that perform fewer than 500 surgeries per year, and Nursing and Allied Health Professional Education when conducted by a provider in an approved program.  Do not include amounts paid for Indirect Medical Education, Hemophilia Clotting Factors, DSH adjustments, or Allogeneic Stem Cell Acquisition .  Zero -fill if this does not apply.  43 185 X(1)  Capital PPS Payment Code Enter the code to indicate the type of  capital payment methodology for hospitals: A = Hold Harmless  cost payment for old capital  B = Hold Harmless  100% Federal rate  C = Fully prospective blended rate  44 186-191 9(4)V9(2)  Hospital Specific Capital Rate  Must be present unless:  Data Element  File Position  Format  Title  Description   A "Y" is entered in the Capital Indirect Medical Education Ratio field; or   A08 is entered in the Provider Type field; or  A termination date is present in Termination Date field.  Enter the hospital's allowable adjusted base year inpatient capital costs per discharge.  This field is not used as of 10/1/02.  45 192-197  9(4)V9(2)   Old Capital Hold Harmless Rate   Enter the hospital's allowable inpatient "old" capital costs per discharge incurred for assets acquired before December 31, 1990, for capital PPS.  Update annually.  46 198-202  9V9(4)   New Capital -Hold Harmless Ratio
(Medicare Claims Processing Manual)
Enter the hospital's allowable inpatient "old" capital costs per discharge incurred for assets acquired before December 31, 1990, for capital PPS.  Update annually.  46 198-202  9V9(4)   New Capital -Hold Harmless Ratio   Enter the ratio of the hospital's allowable inpatient costs for new capital to the hospital's total allowable inpatient capital costs.  Update annually.  47 203-206 9V9(3)  Capital Cost -to-Charge Ratio  Derived from the latest cost report and corresponding charge data from the billing file.  For hospitals for which the MAC is unable to compute a reasonable cost- to-charge ratio, it uses the appropriate statewide average cost -to-charge ratio calculated annu ally by CMS and published in the "Federal Register."  A provider may submit evidence to justify a capital cost- to-charge ratio that lies outside a 3 standard deviation band. The MAC uses the hospital's ratio rather than the statewide average if it agrees t he hospital's rate is justified.  See below for a detailed description of the methodology to be used to determine the CCR for Acute Care Hospital Inpatient and LTCH Prospective Payment Systems.  48 207  X(1)   New Hospital   Enter "Y" for the first 2 years that a new hospital is in operation.  Leave blank if hospital is not within first 2 years of operation.  49 208-212  9V9(4)   Capital Indirect Medical Education Ratio  This is for IPPS hospitals and IRFs only.  Enter the ratio of residents/interns to the hospital's average daily census.  Calculate by dividing the hospital's full -time Data Element  File Position  Format  Title  Description  equivalent total of residents during the fiscal year by the hospital's total inpatient days.  (See 20.4.1  for inpatient acute hospital and 140.2.4.3 and 140.2.4.5.1 for IRFs.)  Zero -fill for a non -teaching hospital.  50 213-218 9(4)V9(2)
(Medicare Claims Processing Manual)
Capital Exception Payment Rate  The per discharge exception payment to which a hospital is entitled.  (See 20.4.7  above.)  51 219-219 X VBP Participant  Enter Y if participating in Hospital Value Based Purchasing.  Enter N if not participating.  Note if Data Element 34 (Hospital Quality Ind) is blank, then this field must = N.  52 220-231 9V9(11)  VBP Adjustment  Enter VBP Adjustment Factor.  If Data Element 51 = N, leave blank.  53 232-232 X HRR Indicator  Enter 0 if not participating in Hospital Readmissions Reduction program. Enter 1 if participating in Hospital Readmissions Reduction program and payment adjustment is not 1.0000.  Enter 2 if participating in Hospital Readmissions Reduction program and payment adjustment is equal to  1.0000.   54 233-237 9V9(4)  HRR Adjustment  Enter HRR Adjustment Factor if 1 is entered in Data Element 53.   Leave blank if 0 or 2 is entered in Data Element 53.  55 238-240 V999  Bundle Model 1 Discount Enter the discount % for hospitals participating in Bundled Payments for Care Improvement Initiative (BPCI), Model 1 (demo code 61).  56 241-241 X HAC Reduction  Indicator Enter a Y if the hospital is subject to a reduction under the HAC Reduction Program. Enter a N if the hospital is NOT subject to a reduction under the HAC Reduction Program.  57 242-250 9(7)V99  Uncompensated Care Amount Enter the estimated per discharge uncompensated care payment (UCP) amount or enter the total of the estimated per discharge UCP amount and estimated per discharge supplemental payment amount, calculated and published by CMS for each hospital. Effective 10/1/2022, the estimated per discharge supplemental Data Element  File Position  Format  Title  Description  payment is for eligible Indian Health Service/Tribal hospitals and hospitals located in Puerto Rico.  58 251-251 X Electronic Health Records (EHR) Program Reduction Enter a Y if the hospital is subject to a reduction due to NOT  being an EHR meaningful user. Leave blank if the hospital is an Electronic Health Records meaningful user.  59    252-258     9V9(6)      LV Adjustment Factor
(Medicare Claims Processing Manual)
252-258     9V9(6)      LV Adjustment Factor     Enter the low -volume hospital payment adjustment factor calculated in accordance with the low -volume hospital payment regulations at  412.101. 60 259-263 9(5) County Code  Enter the County Code. Must be 5 numbers.   61 264-268 9V9999  Medicare Performance Adjustment (MPA)  Enter the MPA percentage calculated and published by the Centers for Medicare & Medicaid Services (CMS).  62 269-269   X(1)   LTCH DPP Indicator   Enter a Y if the LTCH is subject to the DPP payment adjustment. Leave blank if the LTCH is not subject to the DPP payment adjustment.  63 270-275 9(2) V9(4)  Supplemental Wage Index  Enter the supplemental wage index that certain providers may be assigned.  Enter zeroes if it does not apply.  64 276-276 X(1) Supplemental Wage Index Flag  Enter the supplemental wage index flag that certain providers may be assigned: 1=Prior Year Wage Index 2=Special IPPS-comparable Wage Index*  3=Future use  Enter blank if it does not apply  *Only for LTCH providers. Pricer will override the otherwise determined IPPS -comparable wage index with this value.
(Medicare Claims Processing Manual)
Enter blank if it does not apply  *Only for LTCH providers. Pricer will override the otherwise determined IPPS -comparable wage index with this value.   65 277-285 9(7)V99  Pass Through Amount for Allogeneic Stem Cell Acquisition  Enter the per diem amount based on the interim payments to the hospital. Include acquisition amounts for allogeneic stem cell transplants. Zero -fill if this does not apply. Data Element  File Position  Format  Title  Description  66 286-291 9(4)V9(2)  Pass Through Amount for Direct Medical Education (Medicare Advantage (MA) Exclusion) Per diem amount of direct graduate medical education to be excluded from MA capitation rates per regulation. Zero -fill if this does not apply. 67 292-297 9(4)V9(2)  Pass Through Amount for Kidney Acquisition (MA Exclusion)  Per diem amount of kidney acquisition costs to be excluded from MA capitation rates per regulation.  Zero- fill if this does not apply. 68 298-306 9(7)V99  Pass Through Amount for Domestic N95 Respirator Procurement  Enter the per diem amount based on the interim payments to the hospital. Include payment adjustments for the additional cost for procurement of wholly domestically made NIOSH -approved surgical N95 respirators.   69 307-310 X(4)  Filler                         Transmittals Issued for this Chapter   Rev #  Issue Date  Subject  Impl Date  CR#  R12306CP  10/19/2023  Processing Claims When the Dates of Service Are Beyond the Time Limit for the Patient Assessment  01/24/2024  13402  R12239CP   09/06/2023  Instructions To Process Services During Disenrollment From The Programs Of All -Inclusive Care For The Elderly (PACE)  01/02/2024  13248  R12234CP  08/31/2023  Fiscal Year (FY) 2024 Inpatient Prospective Payment System (IPPS) and Long- Term Care Hospital (LTCH) PPS Changes  10/02/2023  13306  R12148CP  07/21/2023  Instructions To Process Services During Disenrollment From The Programs Of All-Inclusive Care For The Elderly (PACE )- Rescinded and replaced by transmittal 12239
(Medicare Claims Processing Manual)
01/02/2024  13248  R11963CP  04/20/2023  Religious Nonmedical Health Care Institution Provisions of the Consolidated Appropriations Act (CAA) of 2023  10/02/2023  13108  R11639CP  10/07/2022  Provider Specific File (PSF) changes for Direct Medical Education (DME), Direct Graduate Medical Education (DGME), Organ Acquisition Cost (OAC) and Kidney Acquisition Costs (KAC)  04/03/2023  12852  R11543CP  08/05/2022  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2023  10/03/2022  12859  R11540CP  08/05/2022  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2023  10/03/2022  12807  R11396CP  05/04/2022  Update to Chapters 3, 4, 27 and 37 of Publication (Pub.) 100- 04 Medicare Claims Processing Manual to Remove Reference to the Term "OSCAR"  10/03/2022  12715  R11348CP  04/07/2022  Revisions to Chapters 3, Inpatient Hospital Billing of the Medicare Claims Processing Manual (Pub 100-04), 18, Preventive and Screening Services of the Medicare Claims Processing Manual (Pub 100-04), and 32 Billing Requirements for Special Services o f the Medicare Claims Processing Manual (Pub 100-04) to Update Coding  05/09/2022  12602  Rev #  Issue Date  Subject  Impl Date  CR#   R11140CP  12/02/2021  Update to the Internet Only Manual (IOM) Publication 100-04, Chapters 3 and 17
(Medicare Claims Processing Manual)
R11140CP  12/02/2021  Update to the Internet Only Manual (IOM) Publication 100-04, Chapters 3 and 17   01/04/2022  12525  R11059CP  10/21/2021  April 2022 Update to the Java Medicare Code Editor (MCE) for New Edit 20 - Unspecified Code Edit  04/04/2022  12471  R11075CP  10/28/2021  Revision to Chapter 3 to Update Instructions for Handling Inpatient Rehabilitation Facility (IRF) Claims  12/01/2021  12500  R11035CP  10/13/2021  Revisions to Chapters  3, 18, and 32 to Update  Coding  11/17/2021  12377  R11039CP  10/05/2021  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022  10/04/2021  12417  R11019CP  09/27/2021  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022 - Rescinded and replaced by transmittal 11039  10/04/2021  12417  R10952CP  08/19/2021  Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 3, Section 40.2.4 Inpatient Prospective Payment System (IPPS) Transfers Between Hospitals  09/20/2021  12360  R10943CP  08/11/2021  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022   10/04/2021  12364  R10944CP  08/12/2021  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022 - Rescinded and replaced by transmittal 1101 9 10/04/2021  12417  R10696CP   03/31/2021  Penalty for Delayed Request for Anticipated Payment (RAP) Submission  01/04/2021  11855  R10403CP
(Medicare Claims Processing Manual)
03/31/2021  Penalty for Delayed Request for Anticipated Payment (RAP) Submission  01/04/2021  11855  R10403CP   10/27/2020  Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation  Rescinded and replaced by transmittal 10696  01/04/2021  11855  R10402CP  10/20/2020  Change to the Payment of Allogeneic Stem Cell Acquisition Services  10/05/2020  11729  R10376CP  10/02/2020  Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 3, Section 90.4.2 for Liver Transplants  11/03/2020  11929  Rev #  Issue Date  Subject  Impl Date  CR#  R10369CP  09/24/2020  Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation  Rescinded and replaced by transmittal 10403  01/04/2021  11855  R10371CP  09/24/2020  Change to the Payment of Allogeneic Stem Cell Acquisition Services- Rescinded and replaced by transmittal 10402  10/05/2020  11729   R10321CP  08/28/2020  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2021  10/05/2020  11858  R10312CP  08/21/2020  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2021  10/05/2020  11949  R10254CP  07/31/2020  Penalty for Delayed Request for Anticipated Payment (RAP) Submission  Implementation  - Rescinded and replaced by Transmittal 10369  01/04/2021  11855  R10222CP  07/14/2020  Updates in the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific Files (PSF)  10/05/2020  11797  R10140CP   05/15/2020  Updates in the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific Files (PSF) - Rescinded and replaced by Transmittal 10222  10/05/2020  11797  R10121CP  05/08/2020  Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  10/05/2020  11707
(Medicare Claims Processing Manual)
07/10/2020  Change to the Payment of Allogeneic Stem Cell Acquisition Services - Rescinded and replaced by Transmittal 10371  10/05/2020  11729  R10210CP  07/10/2020  Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 3, Section 20 and 90.6   08/10/2020  11829  R10002CP  03/20/2020  Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 3, Section 90.4.2  04/20/2020  11687  R4406CP  10/01/2019  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2020  10/07/2019  11420  R4390CP   09/06/2019  Fiscal Year (FY) 2020 Inpatient Prospective Payment System (IPPS) and Long Term Care 10/07/2019  11361  Rev #  Issue Date  Subject  Impl Date  CR#  Hospital (LTCH) PPS Changes  R4357CP  08/09/2019  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2020 - Rescinded and replaced by Transmittal 4406  10/07/2019  11420  R4353CP  08/02/2019  Inpatien 1t Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2020  10/07/2019  11345  R4337CP  07/18/2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model  07/01/2019  10971  R4308CP  05/16/2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model  - Rescinded and replaced by Transmittal 4337
(Medicare Claims Processing Manual)
07/01/2019  10971  R4257CP  03/14/2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model - Rescinded and replaced by Transmittal 4308  07/01/2019  10971  R4230CP  02/01/2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model  07/01/2019  10971  R4271CP  03/29/2019  Update to the Internet -Only -Manual (IOM) Publication (Pub.) 100 -04, Chapters 1 and 3  04/29/2019  11188  R4157CP   11/02/2018  Hospital and Critical Access Hospital (CAH) Swing -Bed Manual Revisions and Shared Systems Changes  04/01/201 9 10962  R4166CP  11/09/2018  Revisions to Medicare Claims Processing Manual Reference to Burn Medicare Severity -Diagnostic Related Groups (MS- DRGs) for Transfer Policy  12/11/2018  11020  R4153CP  10/26/2018  Incomplete Colonoscopies Billed with Modifier 53 for Critical Access Hospital (CAH) Method II Providers   04/01/2019  10937  R4104CP  08/03/2018  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2019  10/01/2018  10880  R4144CP  10/04/2018  Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) and Long Term Care 10/01/2018  10869  Rev #  Issue Date  Subject  Impl Date  CR#  Hospital (LTCH) PPS Changes - No Longer Sensitive   09/07/2018  Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes SENSITIVE / CONTROVE RSIAL  DO NOT POST - Rescinded and replaced by Transmittal 4144  10/01/2018  10869  R4101CP
(Medicare Claims Processing Manual)
08/03/2018  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2019  10/01/2018  10826  R4046CP  05/10/2018  Inpatient Prospective Payment System (IPPS) and Long- Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act of 2018   04/02/2018  10547  R4038CP  04/27/2018  Notification of Change in Instructions for Handling IRF Active Provider List  04/23/2018  10459  R4008CP  03/23/2018  Notification of Change in Instructions for Handling IRF Active Provider List  Rescinded and replaced by Transmittal 4038
(Medicare Claims Processing Manual)
04/23/2018  1045 9 R3836CP  08/18/2017  Home Health Value -Based Purchasing Implementation  11/21/2017  9939  R3849CP  08/25/2017  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2018  10/02/2017  10125  R3826CP  08/04/2017  Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2018  10/02/2017  10214  R3795CP  06/16/2017  Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  10/02/2017  10165  R3779CP  05/24/2017  Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42  04/03/2017  9818  R3750CP  04/19/2017  New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  07/03/2017  9926  Rev #  Issue Date  Subject  Impl Date  CR#  R3718CP  02/14/2017  Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42-- Rescinded and replaced by Transmittal 3779  04/03/2017  9818  R3712CP  02/03/2017  New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  07/03/2017  9926  R3635CP  10/28/2016  Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42   Rescinded and replaced by Transmittal 3718  04/03/2017  9818  R3590CP  08/01/2016  Changes to the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific File (PSF) for Low -Volume Hospital Payment Adjustment Factor and New Inpatient Prospective Payment System (IPPS) Pricer Output Field for Islet Isolation Add -on Payment  10/03/2016  9570  R3576CP  08/05/2016  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for