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Healthcare Policy - Inpatient Rehab Questions with Solutions
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Healthcare Policy - Inpatient Rehab
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Healthcare Policy - Inpatient RehabWhat does "rehabilitation" mean (literally)? - answer Rehabilitation means: to make able
The goal of rehabilitation, or "rehab", is to help someone do as much for oneself as
possible.
What is inpatient rehabilitation? - answer Inpatient rehab is when a person is admitted
to a rehab unit and several types of therapies and rehab services work together to
devise a formal plan to provide rehab to the patient.
How long are inpatient rehab stays? - answer Inpatient rehab stays are for a limited
amount of time - less than 6 weeks
Discharge from inpatient rehab may be to . . . - answer home or to a place that can
continue longer-term rehabilitation.
Inpatient rehab is considered a . . . - answer separate hospitalization
Rehab facilities use . . . . approach in the rehabilitation of each patient - answer
coordinated multidisciplinary team
What does inpatient rehab documentation look like? - answer As documented by
periodic clinical entries made in the patient's medical record to note patient's status in
relationship to goal attainment
As documented after team conferences which are held at least every once every week
to determine the appropriateness of treatments
Every seven days
What does a director of rehabilitation look like? (inpatient) - answer Have a director of
rehabilitation who
Provides services to hospital and inpatients on full-time basis
Doctor of medicine or osteopathy
Licensed under state law to practice medicine or surgery
Has had at least 2 years of training or experience in the medical management of
inpatients requiring rehabilitation services
What does inpatient rehab plan of treatment look like? - answerHave a plan of treatment
for each patient that is established, reviewed, revised as needed by a physician in
consultation with other professional personnel who provide services to the patient
What do inpatient rehab facilities look like? - answerInpatient rehabilitation beds must
be physically separate from other hospital beds. Unit is distinct and separate.
, What is CMS? What groups of regulations do they have for inpatient rehab? -
answerCenter for Medicare and Medicaid Srvcs (CMS)
CMS has 2 groups of regulations for Rehab
Facility Specific
Patient Specific
In addition to CMS, what are other regulatory agencies for inpatient rehab? -
answerDepartment of Health (DOH)
The Joint Commission (TJC)
Commission on Accreditation of Rehab Facilities (CARF)
What facility specific regulations does CMS have for inpatient rehab? - answerHave
beds physically separate from the hospital's other beds
Admission and discharge criteria
Medical records separate from acute stay
Pre-admission screen
Inter-disciplinary team meetings at least 1xweek
Must have Director of Rehabilitation:
Physician
Experience in the medical management of inpatients requiring rehab services
20 hours/week—patient care and administration, hours cannot be substituted by a PA or
by any other qualified professional
What are CMS patient specific regulations? - answerAn IRF patient must:
Require and receive at least three hours a day of any combination of physical and/or
occupational therapy and/or speech.
Require 24-hour supervision of a physician with special training or experience in the
field of rehabilitation→ Medical Necessity Requirement
Require 24-hour availability of a registered nurse with specialized training or experience
in rehabilitation
Require a coordinated care plan provided by a multidisciplinary team that must include
a minimum of a physician, rehabilitation nurse, and one therapist
Be expected to achieve significant improvement over a reasonable period of time
Have realistic rehabilitation goals that focus on achieving the maximum level of function
Have a reasonable length of stay
Who must be included on the multidisciplinary team for inpatient rehab, according to
CMS? - answerphysician, rehab nurse, one therapist (and director of rehab must be MD
or DO.)
Within ______ days of someone coming in, the inter-disciplinary team must meet, and
continue to meet . . . . - answer7 days, once a week
What is the IRF-PAI? - answerThe Medicare Inpatient Rehabilitation Facility Patient
Assessment Instrument
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