Nancy Beckley & Associates provides start up and continued support for Medicare Comprehensive Outpatient Rehabilitation Facilities (CORFs). We have been involved with over 100 Medicare certified rehab agencies and CORFs in all phases: from start up operations to mock surveys to policy manual development, site analysis, equipment orders, facility layout, Office of Civil Rights compliance, survey & certification appeals, as well as staff and board training. More recently we have been assisting providers on mandatory compliance with Section 1557 of the Affordable Care Act and the new and required Emergency Preparedness Condition of Participation.
There are less than 200 active CORFs currently certified by CMS. Providers most often are interested in becoming a CORF in large part to offer a pulmonary rehabilitation program as well as to provider PTA and OTA services under general, rather than direct, supervision. If you are considering a CORF option, or are an existing CORF that is looking to be in in compliance with the CORF Conditions of Participation as part of CMS re-validation (which includes a survey), our membership site with your needs in mind. Looking for a CORF Policy and Procedure Manual? Our manual is consistent with the CORF Conditions of Participation and includes policies and procedures for the Emergency Preparedness Condition of Participation.
Have CORF or Rehab Agency Questions? – Our Webinar is For You!
In response to a lot of questions and uncertainly regarding CORFs and Rehab Agencies we now offer a custom webinar for those interested in starting a CORF or purchasing a CORF. This will get you up to speed quickly on CORF requirements and to assist you in determining if a CORF is the right vehicle for your outpatient therapy clinic.
Our Rehab Agency Getting Started Webinar was updated in 2018 with a PPT handout to take you through the basics of started a rehab agency. This webinar also differentiates between a Rehab Agency and a CORF.
Medicare Therapy Provider Types
Most outpatient rehab providers participate in the Medicare program. Medicare outpatient services are paid for out of the Part B Medicare Trust Fund. Outpatient Rehab participation can be in several ways:
- Part B Supplier
- Physical or Occupational Therapist in Private Practice (PTPP/OTPP) or Speech Language Pathologist in Private Practice
- Part B Medicare Administrative Contractor (MAC)
- May from Physical or Occupational Therapy Group Practice
- Services may also be provided ‘incident’ to a physician’s practice
- Part A Institutional Provider
- Rehab Agency (OPT/OST)
- Hospital Outpatient Department
- SNF Part B
- HHA Part B
What is a CORF?
A Comprehensive Outpatient Rehabilitation Facility (CORF) is a federally certified non-residential facility established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician. A CORF may provide certain services offsite, despite a prohibition on extension sites.
Medicare Enrollment and Certification
Medicare rehab providers are certified based upon the Conditions of Participation for each type of provider found in the Code of Federal Regulations. Part A providers (Rehab Agencies & CORFs) make application to the Part A Medicare Administrative Contractor (MAC), and they are subject to the survey and certification requirements. Surveys are conducted by the State Agency or CMS deeming authority in the case of a rehab agency. State surveyors use interpretive guidelines to guide them in the survey and certification process.
Medicare suppliers (private practices or physician offices) make application through the Part B Medicare Administrative Contractor (MAC) and for physical therapists in private practice are subject to a site visit, per the Affordable Care Act, as part of the enrollment process. Site visits are not applicable for occupational therapists or speech language pathologists in private practice.
Rehab Agency and CORF Knowledge Base
Nancy Beckley & Associates is an active member of the National Association of Rehabilitation Providers and Agencies, the professional association representing Rehab Agencies and CORFs. Nancy Beckley has served on the CMS CORF Professional Expert Technical Panel, and was a faculty member for the CORF Development workshop series presented by the American Medical Rehabilitation Providers Association. She is recognized by her peers as a rehab agency and CORF expert, and has worked extensively with CORFs in Florida who have undergone aggressive review as part of Medicare program safeguard activities targeting fraud and abuse in South Florida.