Physician Documentation Supporting an Inpatient Rehabilitation Admission
Referral & Admission
Patients who are least 14 years old can be admitted to a Magee program directly from an acute care hospital, sub-acute facility, nursing home, or from the patient's home.
Magee admits patients seven days a week. The process begins with a referral to the Magee Admissions Department. A referral may come from a patient's attending physician; primary care physician; insurance company representative; or hospital discharge planner (e.g. social worker, nurse or case manager).
The process begins with a referral to the Magee Admissions Department by calling 215-587-3117. A referral may come from a patient's attending physician, primary care physicia, insurance company representative, or hospital discharge planner (e.g. social worker, nurse, or case manager).
During this evaluation, the Magee liaison can help patients, families and acute care treating professionals to discover if rehabilitation is appropriate at that time, and the options available. Liaisons can also help untangle insurance concerns.
When the admission has been approved by Magee and the patient's insurance company, the acute care hospital will make transportation arrangements for the patient to be moved to Magee. We recommend that a family member or other support person attend on the day of admission, to learn about the iniital plan of care and to share informaiton that will facilitate a good transitio for the patient.
Insurance guidelines for the approval of an inpatient rehabilitation admission at the acute level typically require demonstration of:
- The patient's need for daily intervention from a physician (e.g., unstable blood pressure, unstable blood glucose, pain management issues, management of neurogenic bowel or bladder)
- Rehabilitation goals that require the intervention of a multidisciplinary team ( i.e., goals that include at least two of the following areas, activities of daily living, mobility, speech and swallowing)
- A plan for discharge to a home setting (e.g., the patient will be able to return home with supports after rehabilitation or to the home of a willing and available family member).
When a physician is documenting his or her recommendation for inpatient, acute rehabilitation, it is helpful for the above to be reflected in that documentation.