IRF Education Series: From CMGs to QI Coding Accuracy

Join us for a three-part webinar series designed to strengthen your knowledge of key IRF PPS components and improve coding accuracy. This series is ideal for rehab professionals who want to enhance their facility’s compliance, accuracy and overall performance under the IRF PPS.

Register for one session or attend all three and save! Each webinar can be attended individually, but participants who register for the full series receive a discounted rate.

Target audience for all webinars: Nursing and therapy managers, therapists and therapy assistants, program directors, PPS coordinators, admission liaisons, nurses and rehabilitation physicians

Click here to view the full agenda.

Understanding CMGs and the IRF PPS

June 10, 2025 | 2:00 – 4:00 p.m. ET

In this live webinar, one of the UDSMR, part of McBee, inpatient rehabilitation clinical experts will take a fresh approach to breaking down the crucial role CMGs play in the IRF PPS, starting with an overview of the IGC classification that serves as the first step in CMG assignment. We’ll explore the admission motor score, examine tiered comorbid condition coding and learn how these steps culminate in accurate CMG assignment for reimbursement for patients with Medicare fee-for-service plans. Real-world scenarios will explain how you can improve your accuracy at each step of the process and will help you understand how case-specific factors can affect reimbursement and length of stay for Medicare IRF cases.

By the end of this webinar, attendees will be able to:

• Define the three components that make up a CMG.
• Accurately match an impairment group code (IGC) to the rehab impairment category (RIC) used for CMG assignment.
• Demonstrate their understanding of the RIC exclusion criteria for tiered comorbid conditions.
• Accurately determine the unadjusted federal prospective payment (FPP) and average length of stay for a given CMG.
• Define a transfer policy case that will result in adjusted reimbursement to a facility.

Speaker: Heather Girard, PT, MSPT, CSRS, CBIS

QI Coding Accuracy: Section GG (Self-Care Items) and Section H (Bladder and Bowel Continence)

June 12, 2025 | 2:00 – 4:00 p.m. ET

This live webinar focuses on the Prior Functioning and Prior Device Use and quality indicators in sections GG and H on the IRF-PAI. One of the UDSMR, part of McBee, inpatient rehabilitation clinical experts will review the definition and coding instructions for the quality indicator items in these sections and examine realistic scenarios designed to help attendees code quality indicator items more accurately as part of their day-to-day practices. Participants will be provided with process examples, trends to look for and documentation practices observed during UDSMR’s chart audits.

Learning outcomes: 

• Participants will be able to identify which admission items in section GG and section H contribute to a case-mix group (CMG).
• Participants will be able to recall the assessment period for collecting quality indicator data for the IRF-PAI.
• Participants will be able to identify the purpose of the IRF-PAI’s various quality indicator sections on the IRF-PAI.
• Participants will demonstrate their coding accuracy, using CMS definitions and coding tips for quality indicator items.

Speaker: Alex Riley, OTR/L

QI Coding Accuracy: Section GG (Mobility Items)

June 17, 2025 | 2:00 – 3:30 p.m. ET

This live webinar focuses on the quality indicators for the mobility items in section GG on the IRF-PAI. One of the UDSMR, part pf McBee, inpatient rehabilitation clinical experts will review the definition and coding instructions for the quality indicator items in this section and examine realistic scenarios designed to help attendees code quality indicator items more accurately as part of their day-to-day practices. Participants will be provided with process examples, trends to look for and documentation practices observed during UDSMR’s chart audits.

Learning outcomes: 

• Participants will be able to identify which admission mobility items in section GG contribute to a case-mix group (CMG).
• Participants will be able to recall the assessment period for collecting quality indicator data for the IRF-PAI.
• Participants will be able to identify the purpose of the quality indicators in section GG on the IRF-PAI.
• Participants will demonstrate their coding accuracy, using CMS definitions and coding tips for quality indicator items.

Speaker: Heather Girard, PT, MSPT, CSRS, CBIS