Section IV Health Maintenance, Caregiving, and Postacute Rehabilitation Bedside to Curbside

npatient Rehabilitation

Acute, Subacute, and in Community Settings

Deepthi S. Saxena

CONTENTS

  • 27.1 Background...........................................................................................................................535
  • 27.2 Speaking the Common Language of Function.....................................................................536
  • 27.3 Rehabilitation Settings..........................................................................................................537
  • 27.3.1 Inpatient Rehabilitation Facility or Acute Inpatient Rehabilitation.........................537
  • 27.3.1.1 IRF Rules and Regulations........................................................................538
  • 27.3.1.2 Rehabilitation Physician and Interdisciplinary Team Approach...............539
  • 27.3.1.3 Individualized Therapy..............................................................................540
  • 27.3.1.4 Brief Exceptions Policy..............................................................................540
  • 27.3.1.5 Definition of Measurable Improvement (FIM)..........................................540
  • 27.3.1.6 Function Independence Measure...............................................................540
  • 27.3.1.7 IRF Quality Reporting Program................................................................541
  • 27.3.2 Subacute Rehabilitation............................................................................................541
  • 27.3.2.1 Resource Utilization Groups......................................................................541
  • 27.3.2.2 Length of Stay............................................................................................542
  • 27.3.2.3 Minimum Dataset......................................................................................542
  • 27.3.2.4 Frequencies of PPS Scheduled Assessments for a Medicare

Part A Stay.................................................................................................543

  • 27.3.2.5 Start of Therapy OMRA............................................................................543
  • 27.3.2.6 End of Therapy OMRA.............................................................................544
  • 27.3.2.7 Change of Therapy OMRA.......................................................................544
  • 27.3.2.8 RAI: Sections.............................................................................................544
  • 27.3.2.9 Basic Rules Governing Subacute Rehabilitation Facilities........................ 545
  • 27.3.2.10 Reimbursement.......................................................................................545
  • 27.3.3 Outpatient Rehabilitation Services ........................................................................... 546
  • 27.3.3.1 Home Health..............................................................................................546
  • 27.3.3.2 Clinic, Hospital-Based, or Independent Outpatient Rehabilitation...........546
  • 27.4 Outcomes Based on a Site of Care.......................................................................................546

References......................................................................................................................................546

 
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