Tag Archives: Plan of Care

Is the Inpatient Rehab Team an Interdisciplinary Team if the Physician is Not on Board?

I’ve always felt that inpatient rehabilitation, with its specialty dedication to fairly focused results in meeting discharge demands for complex patients to return to the community, was a no-brained clear winner for all patients with functional impairment. A level of care so special that it would always have its place in healthcare and would be revered in the line of…
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Medically Necessary – Leave No Room for Debate

Most often than not, therapy services already provided can be unfunded or denied based on two words – Medically Necessary. It is a concept that has gained popularity for denial from pre-authorization to post provided and unfunded care.  Yet there are criteria aimed around the concepts, that if taught well, staff could easily defend requirements. Criteria for Medically Necessary therapy…
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The Goals of Rehabilitation and the Outcomes Achieved

Nothing distinguishes a rehabilitation setting more than the stated goals of their rehabilitation programs and the outcomes evidence they present in demonstration of success.  Next time you have the opportunity to look at a rehabilitation provider’s website compare its goal or mission statement to its link for reported outcomes. If they are not related something is amiss. Setting goals is…
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The Shortest Distance Between Two Points is a Straight Line

I don’t think I really ever challenged this statement.  It just made sense.  If you don’t believe the statement, refer to the mathematical evidence made available on a Google search and posted by Patrick Blochle, Canisius College, Buffalo, NY. Yet, every day when witnessing the path from admit to discharge by a patient in rehabilitation, I don’t often see evidence…
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KISS – Keep it Simple “Strategy” (Political Correctness is Everything)

Given stringent guidelines for what must be documented in an outpatient plan of care is essential to gain efficiency in documentation.  This is particularly true when completing the evaluation of a given patient that is seeking your care for a very specific purpose.   I’ve seen extremely long documentation practices, that somehow lose even the therapist that created the plan,…
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IRF Plan of Care Requires a Detailed Therapy Prescription

Soon after 2010 regulations were released, clinicians began assessing workflow and practices to ensure each detailed item listed to be completed was covered. Initially, there was much debate as to when it was necessary to define exact levels of treatment by discipline (duration and frequency) for each therapy. Although the pre-admission screen asks for expected frequency and duration of  ”treatment…
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