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If you are in an IRF more than 90 days (during one spell of illness), you can use up to 60 additional lifetime reserve days of coverage. During those days, you are responsible for a daily coinsurance payment of $592 per day, in 2013, and Medicare will pay the rest.
IPPS rules. Short-term acute-care hospitals are reimbursed under the inpatient prospective payment system (IPPS) within the Medicare program. The rates are prospectively set based primarily on the diagnosis each year for implementation October 1.