tci Medicare Compliance & Reimbursement - 2005 Issue 35

Rehab: 75 Percent Rule Wreaking Rehab Havoc

Longer stays are already a reality after joint replacement shakeup.Rehab managers in acute care have their work cut out for them: How to contend with a harsh new reality without draining hospital resources. "The 75 percent rule promises a backlash that many acute rehab providers are feeling already," reports Fran Fowler of Fowler Healthcare Associates in Atlanta. Offering only a few exceptions in the rule, the Centers for Medicare and Medicaid Services has made it clear that beneficiaries who undergo hip or knee replacement surgery now should receive rehab services in a setting other than an inpatient...

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