More Rehab Options
These facilities are examples of inpatient rehab done in an acute care (hospital) facility.
Encompass Rehab, Sky Rehab, Frazier Rehab, Cardinal Hill
LTAC stands for what.
Long term acute care hospital
*A facility that treats patients for 30+ days vs. a STAC (short term acute hospital) like HMH that treats patients for 1 to 2 weeks.
Different pharmacies can charge what for the same medication (even if you have insurance).
Costs
It is worth shopping around.
Pre-authorizations for non-emergency EMS transport are needed for which insurances.
Fresenius and Davita
*Hep B ALWAYS required for new referrals
Unlike SNF rehab, acute rehab does not require what for Medicare.
A 3 Day Qualifying Stay
Commercial plans still need a precert.
Medicare will pay an increased rate for LTAC placement when a patient has this at the short term hospital.
3 midnights in ICU/CCU/PCU or any monitored bed
*If the patient does not have these 3 midnights, they are considered site neutral (no increase in payment for the LTAC).
These are examples of websites/programs available for medication assistance.
Needymeds.org, Good RX, RX Outreach, Blink Health
Insurance will cover EMS transport when it is what.
Medically Necessary
Patients who have life limiting diagnoses or unmanageable pain or need assistance with clarifying their goals of care need this.
A Palliative Care Consult
*Ordered by a physician or a RN CM via the protocol.
Medicare dictates the percentage of patients who can be in an acute rehab facility based on what.
The CMS 13 Diagnosis (hip fracture, stroke, parkinsons, etc) - Must be 60% of their patients
In order to determine if a patient has been in a monitored bed, you look for these in BAR (the financial system in Meditech).
Procedure Codes
*These correlate with revenue codes which is ultimately what the LTAC wants.
These are examples of resources available to provide medication assistance.
Medicare Savings Program (Medicaid for those who have Medicare) and Hardin County Community Clinic
EMS transport is covered to the what appropriate facility to obtain diagnostic or therapeutic services.
Nearest
In order to be admitted to Hospice services, a patient must be interested in end of life care, no longer wanting to pursue aggressive treatment, and expected to live this many months or less.
6 Months
*Most all insurances cover Hospice services, and these services can be provided in a nursing home, hospital, or in the home.
If the patient is going home and there is not need for for nursing in the home, this is the preferred option for therapy post-discharge.
Outpatient Therapy
*Home health only if homebound, transportation issues, need for RN services
Kindred Jewish, Kindred St. Anthony's, Commonwealth Specialty, Select Specialty, Continuing Care Hospital.
You can always contact the patient's physician's office to see if they can provide what for a patient who cannot afford a particular medication.
Samples
Patients who are able to sit up or ambulate will be or not be covered for non-emergency EMS transport.
Not be covered unless there is a medical reason for the EMS transport (heart monitoring, oxygen, etc).
Wound care can be provided in these post-acute care settings.
Outpatient, Home Health, Rehab/SNF
If a patient needs outpatient therapy, an order can be obtained from the physician in what 2 ways.
Paper Order Form or Input via Meditech
In order to qualify for LTAC placement, staff should look for what.
Anticipated 30+ stay, multiple neb txs, multiple IV abx, vent dep or slow wean, high O2 requirements, continuous bipap, extensive wound care
The HMH Indigent Medication Program provides what to patients who qualify.
Coverage of a 30 day supply of new discharge medications
*Typically narcotics, over the counter meds, and maintenance meds are not covered. Limit $100 without management approval. Use HMH Pharmacy if possible.
Medicare will cover EMS transport to the following destinations.
Hospital, SNF, Home, Dialysis Facility
*MD office is not covered, but EMS may stop by in route to another location under special circumstances.
Wound vacs require one of the following be setup at discharge.
Outpatient wound care or home health services