Fiscal Year (FY) 2021 Inpatient Rehabilitation Facilities (IRF) Prospective Payment System (PPS) (CMS-1729-P) | CMS
On April 16, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) for fiscal year (FY) 2021.
And specifically this line is what I'm wondering about
In the FY 2021 IRF PPS proposed rule, CMS is proposing to allow non-physician practitioners to perform any of the IRF coverage service and documentation duties that are currently required to be performed by a rehabilitation physician, provided that the duties are within the non-physician practitioner’s scope of practice under applicable state law. CMS is also soliciting comments from stakeholders on further ideas to reduce provider burden, as well as on proposals to codify subregulatory guidance on preadmission screening documentation and certain other IRF coverage requirements.
As a disclaimer I am not a PM&R physician (yet) but does this look like a worrying trend? As midlevels' scope of practice continues to expand will IRFs just hire them instead of physicians to save money? We've already seen the VA decide to allow CRNAs to work unsupervised, a decision which was strongly opposed by the ASA.