POS 61: Comprehensive Inpatient Rehabilitation Facility
Inpatient Rehabilitation Facility (IRF) admission.
CMS description
“A facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services.”
When to use POS 61
Inpatient Rehabilitation Facility (IRF) admission.
Reimbursement
IRF Prospective Payment System. 60% rule eligibility criteria.
Common billing issues
- IRF 60% rule denials
- 3-hour therapy requirement
Frequently asked questions
What is POS 61?
Comprehensive Inpatient Rehabilitation Facility. A facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services.
When do I use POS 61?
Inpatient Rehabilitation Facility (IRF) admission.
How does POS 61 affect reimbursement?
IRF Prospective Payment System. 60% rule eligibility criteria.
What are common POS 61 billing issues?
IRF 60% rule denials; 3-hour therapy requirement.
Other POS codes
- POS 01 — PharmacyUsed primarily for vaccines administered at a pharmacy and pharmacist-rendered s
- POS 02 — Telehealth Provided Other than in Patient's HomeSince 2022, POS 02 must be used for telehealth when the patient is anywhere OTHE
- POS 03 — SchoolUsed for services provided in a school setting — typically school-based health c
- POS 04 — Homeless ShelterHealth services provided at a homeless shelter, typically by mobile clinics, str
- POS 05 — Indian Health Service Free-standing FacilityIHS billing only. Special encounter rates apply.
- POS 06 — Indian Health Service Provider-based FacilityIHS billing only, provider-based hospital outpatient setting.
Sources
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