tci Medicare Compliance & Reimbursement - 2003 Issue 42

Rehab: CAPS COULD SPAWN NEW ERA IN HOSPITAL-SNF RELATIONSHIPS

As long as the therapy caps are in place, many patients will be shuffled to outpatient settings upon reaching their limit - but rehab providers must be careful how they handle the switch. The caps are likely to "spawn a whole new set of arrangements between hospitals and nursing facilities, and those arrangements unless carefully constructed could be a source of significant problems for providers," warns attorney Donna Thiel with Morgan Lewis & Bockius in Washington. Hospital outpatient departments aren't subject to the therapy caps, so many providers will be inclined to ink agreements whereby patients are transported...

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