IRF: Laying the Groundwork: IRF-PAI Coding Webinar Series

Accurately recording the admission impairment group code (IGC), etiologic diagnosis, and comorbid conditions on the IRF-PAI is essential for appropriate reimbursement in inpatient rehabilitation. These three webinars will introduce the necessary groundwork for coding IRF-PAIs, beginning with selecting IGCs and followed by coding etiologic diagnoses, comorbid conditions, and complications.

• Session 1: Impairment Group Codes | This session begins with a clinical support specialist clearly defining impairment group codes and their important role in IRF coding. It provides a comprehensive review of each impairment group category, including subclasses and applicable clinical examples.
• Session 2: Etiologic Diagnoses, Comorbid Conditions, and Complications | This session builds on session 1 by focusing on the philosophies behind assigning an etiologic diagnosis appropriate for the admission IGC. It also defines comorbid conditions and complications in the IRF setting. A HIM coding specialist will explain the importance of capturing these conditions on the IRF-PAI in order to tell the story of the patient’s medical complexity.
• Session 3: Tiers and Compliance | This session introduces tiered comorbid conditions and focuses on the importance of specificity in physician documentation and its effects on ICD-10 coding. A HIM coding specialist will identify strategies for ensuring accurate coding that can affect compliance and tier capture rates in the IRF setting.