The link above provides national-level statistics for areas identified as potentially at risk for improper payments in IRFs. The data include the number of Medicare discharges for the numerator and denominator for each target area, proportion for each target area, average Medicare payment for a claim in each target area and the sum of total Medicare payments for each target area. The data are aggregated in three ways: 1) all IRFs in the nation, 2) all IRF distinct part units of short-term acute care or critical access hospitals in the nation, and 3) all free-standing IRFs in the nation. The data represent the most recent three fiscal years. For more information on the areas identified as potentially at risk for improper payments, please see the IRF PEPPER User’s Guide (PDF, 11th Edition).

Listings of the top 20 RICs by volume of Medicare discharges for 1) all IRFs in the nation, 2) all IRF distinct part units of short-term acute care or critical access hospitals in the nation, and 3) all free-standing IRFs in the nation. The data are aggregated at the national level and include the number of discharges, proportion of discharges for the RIC to total discharges and national average length of stay for each RIC. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Listings of the top 20 CMGs by volume of Medicare discharges for 1) all IRFs in the nation, 2) all IRF distinct part units of short-term acute care or critical access hospitals in the nation, and 3) all free-standing IRFs in the nation. The data are aggregated at the national level and include the number of discharges, proportion of discharges for the CMG to total discharges and national average length of stay for each CMG. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Identifies the number of discharges, proportion of all discharges and average length of stay (ALOS) for each CMG tier level and for five discharge destinations for 1) all IRFs in the nation, 2) all IRF distinct part units of short-term acute care or critical access hospitals in the nation, and 3) all free-standing IRFs in the nation. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Graphs displaying, for each of the areas identified as potentially at risk for improper Medicare payments, the target area percents that are at the 80th, 50th and 20th percentiles for free-standing IRFs and for IRF distinct part units of short-term acute care hospitals for the most recent four quarters ending Q4FY21 (October 1, 2020 – September 30, 2021). For more information on the areas identified as potentially at risk for improper payments, please see the IRF PEPPER User’s Guide (PDF, 11th Edition).

The link above provides state-level statistics for areas identified as potentially at risk for improper payments in IRFs. The data include the number of Medicare discharges for the numerator and denominator for each target area, proportion for each target area, average Medicare payment for a claim in each target area and the sum of total Medicare payments for each target area for all IRFs in each state with three or more IRFs. The data represent the most recent three fiscal years. For more information on the areas identified as potentially at risk for improper payments, please see the IRF PEPPER User’s Guide (PDF, 11th Edition).

Listings of the top 20 RICs by volume of Medicare discharges for all IRFs in each state with three or more IRFs. The data are aggregated at the state level and include the number of discharges, proportion of discharges for the RIC to total discharges and state average length of stay for each RIC. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Listings of the top 20 CMGs by volume of Medicare discharges for all IRFs in each state with three or more IRFs. The data are aggregated at the state level and include the number of discharges, proportion of discharges for the CMG to total discharges and state average length of stay for each CMG. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Identifies the number of discharges, proportion of all discharges and average length of stay (ALOS) for each CMG tier level and for five discharge destinations for all IRFs in each state with three or more IRFs. The data represent the most recent four quarters of discharges through Q4FY21 (October 1, 2020 – September 30, 2021).

Charts displaying, for each of the areas identified as potentially at risk for improper Medicare payments, the target area percents that are at the 80th, 50th and 20th percentiles for inpatient rehabilitation facilities in three categories: total number of discharges, location and ownership type. The statistics were calculated for IRF discharges ending in fiscal year 2021 (October 1, 2020-September 30, 2021). For a listing of all IRFs and their peer group classification please see the IRFs by peer group file (XLSX, updated 05-03-2022). Note: use Control+F or the “Find” button to search the file for a CMS Certification Number (provider number) or provider name.