The Short on Rehab

Author

Larchwood Inns and The PARC Skilled Nursing

Posted on

Jul 02, 2018

Book/Edition

Colorado - Western Slope

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What is Post-Acute Rehabilitation? It is an inpatient center that provides therapies and/or Skilled Nursing.
Adults go there to recover from illness, injury, surgery, or other medical conditions following treatment in an Acute Care Hospital. Post-Acute Rehabilitation is a term used interchangeably with Short Term Rehab, Transitional Care Unit and Skilled Nursing Rehab Facility (SNF). These facilities offer many similar services, such as: Physical Therapy, Occupational Therapy, Speech Therapy and Skilled Nursing Services. All centers have a Physician directing care and all must follow the same rules and regulations governed by Medicare. Not all Post-Acute Centers accept Medicaid and/or private insurance.

An individuals Medicare benefits begin after a qualifying Acute Hospital stay if skilled services (Therapy and/or Nursing) are needed in order to regain physical health to go home safely. The first 20 days of Post-Acute Rehab is paid for by Medicare without a co-payment. Starting on day 21 there is a co-payment, and, depending on the individuals circumstance, the co-payment is that persons responsibility whether it be paid by the individual themselves, by a secondary insurance, or by Medicaid. It is important to remember that not all Post-Acute Rehabilitations Centers are licensed to take Medicaid. Keeping this in mind, one would want to consider whether aftercare will require only a few days or, in some cases, a month or more in Rehab. (In extreme circumstances, Medicare stays can be as long as 100 days if the individual continues to qualify for skilled services.)

Questions to ask:

Tour the facilities and take a family member and/or trusted friend with you. Look at the room, dining area, community rooms, and Therapy Facilities.
What insurances does the facility accept, and will the facility bill your private insurance?
Does the facility accept Medicaid? Very important if you may need extended Rehab.
Does the facility offer Physical, Occupational, and Speech Therapy? Do they have specialized equipment or services?
Ask about dining services and whether the facility is able to meet your individualized preferences. Ask to view a menu and you may even want to arrange to eat a meal.
What is the facilities Medicare quality (CMS) star rating?
Can the facility provide 1st medication dosing on site?
Do they bill secondary insurance?
What does the facility do to provide an individual plan of care that meets your discharge goals?

Editors note: This article was submitted by Melisa Latham, RN, NHA. Melissa is the Administrator at Larchwood Inns and the PARC and may be reached at 970-245-0022 or by email at MelissaL@LarchwoodInn.com.

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