Comprehensive outpatient rehabilitation facility

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A comprehensive outpatient rehabilitation facility (CORF) is a non-residential facility established and operated solely to provide diagnostic, therapeutic, and restorative services to outpatients at a single, fixed location under the order and supervision of a physician.

CORFs in the United States

The U.S. Centers for Medicare and Medicaid Services (CMS) defines a CORF as "a nonresidential facility that is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician."[1] The Omnibus Budget Reconciliation Act (OBRA) of 1980 brought Medicare CORF benefits as a way to stimulate expansion of services on an outpatient basis.[2]

CMS goes on to state that core services at a CORF should include[3]:

  • consultation with and medical supervision of non-physician staff.
  • establishment and review of the plan of treatment and other medical and facility administration activities.
  • physician services (per the definition).
  • physical therapy services.
  • social or psychological services.

Additional optional services may include (but are not limited to)[4]:

  • occupational therapy
  • speech-language pathology
  • respiratory therapy
  • prosthetic and orthotic devices
  • nursing
  • drugs and biologicals

References

  1. "42 CFR 485.51 - Definition" (PDF). Code of Federal Regulations. U.S. Government Printing Office. 1 October 2013. http://www.gpo.gov/fdsys/pkg/CFR-2013-title42-vol5/pdf/CFR-2013-title42-vol5-sec485-51.pdf. Retrieved 29 March 2014. 
  2. Verville, Richard (2009). War, Politics, and Philanthropy: The History of Rehabilitation Medicine. University Press of America. p. 217. ISBN 9780761845942. http://books.google.de/books?id=7k5gpga5LkIC&pg=PA217&lpg=PA217. Retrieved 29 March 2014. 
  3. "Comprehensive Outpatient Rehabilitation Facilities". Centers for Medicare and Medicaid Services. 11 April 2013. http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/CORFs.html. Retrieved 29 March 2014. 
  4. "Appendix K - Guidance to Surveyors: Comprehensive Outpatient Rehabilitation Facilities" (PDF). State Operations Manual. Centers for Medicare and Medicaid Services. 11 April 2013. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/som107ap_k_corf.pdf. Retrieved 29 March 2014.