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Physical/Speech Rehab
Posted on 10/17/17 at 8:19 pm
Posted on 10/17/17 at 8:19 pm
Does anyone know the cost of inpatient services for physical therapy and speech rehab. A relative needs both and her insurance will not cover it. Trying to get an idea of a daily cost and what the family is looking at. Thanks in advance for the help!
19
Posted on 10/17/17 at 8:21 pm to bott18240
God, I hate insurance companies.
Posted on 10/17/17 at 8:22 pm to bott18240
Why isn't it covered?
Is it dr. Referred?
Is it dr. Referred?
Posted on 10/17/17 at 8:23 pm to bott18240
Tough spot to be in, good luck and I wish you the best.
Posted on 10/17/17 at 8:25 pm to lsucoonass
I don't know the details of why. But that's the hand that's been dealt so I'm trying to do some homework for them while they are at the hospital. Google didn't give much info, most things I could find were for alcohol and drug rehab.
Posted on 10/17/17 at 8:29 pm to bott18240
Well without knowing condition it's hard to say that's all I'm trying to get at.
If this is a spinal cord injury, I wouldn't worry about inpatient rehab as much as I would be concerned on care throughout the lifespan
I guess the insurance company doesn't seem the condition medically necessary for ot and speech.
When I think of pt and speech I think of a stroke, Tia, onset of Parkinson's etc
If this is a spinal cord injury, I wouldn't worry about inpatient rehab as much as I would be concerned on care throughout the lifespan
I guess the insurance company doesn't seem the condition medically necessary for ot and speech.
When I think of pt and speech I think of a stroke, Tia, onset of Parkinson's etc
Posted on 10/17/17 at 8:30 pm to bott18240
If it is inpatient as in living weeks at the rehabilitation center it will be very expensive. My guess would be about 1,000 a day.
If they stay somewhere else and go to therapy an hour each a day then more like 200-300 a day.
You can stay at home or with a relative and receive these services a few times a week in your house as home health services.
I would go the home health or outpatient route if possible if you have to pay yourself.
If they stay somewhere else and go to therapy an hour each a day then more like 200-300 a day.
You can stay at home or with a relative and receive these services a few times a week in your house as home health services.
I would go the home health or outpatient route if possible if you have to pay yourself.
Posted on 10/17/17 at 8:32 pm to bott18240
My wife is a speech pathologist.
$100/ hour is a starting billable rate.
$100/ hour is a starting billable rate.
Posted on 10/17/17 at 8:36 pm to 4LSU2
I think PT is a little more than speech.
Posted on 10/17/17 at 8:41 pm to bott18240
If you are talking about inpatient, you are talking about a lot of money. Especially if you are looking at two weeks or so. Is the patient not safe to go home and receive PT and speech with home health?
Posted on 10/17/17 at 8:43 pm to lsucoonass
It was a stroke. They don't know the amount of rehab needed yet but are recommending Toro in New Orleans. Left side has minimal feeling as of now and speech is okay but they said she will need both.
Posted on 10/17/17 at 8:45 pm to bott18240
Why doesn’t insurance cover it?
Won’t cover therapy in the acute care hospital, or won’t cover an admission to an acute inpatient rehabilitation facility?
Won’t cover therapy in the acute care hospital, or won’t cover an admission to an acute inpatient rehabilitation facility?
Posted on 10/17/17 at 8:45 pm to bott18240
DTA- I see it was a stroke. My post was therefore irrelevant.
This post was edited on 10/17/17 at 8:47 pm
Posted on 10/17/17 at 8:46 pm to bott18240
Toro is good
Not sure why insurance isn't covering
Not sure why insurance isn't covering
Posted on 10/17/17 at 8:47 pm to bott18240
Not sure what kind of insurance would deny inpatient rehab for a patient that has had a major stroke which is what you seem to be describing
Posted on 10/17/17 at 8:47 pm to bott18240
Plan on $2 per minute for the speech side. You may be a little less.
Posted on 10/17/17 at 8:47 pm to bott18240
Talk to the rehab nurse liaisons at Touro. Get a PM+R doc to do a consult on the patient and recommend acute rehab. Then have doc do a peer-to-peer review with the insurance doctor.
Posted on 10/17/17 at 8:48 pm to bott18240
Make sure acute therapist document that he/she can tolerate “three hours of therapy/day”.
Posted on 10/17/17 at 8:49 pm to bott18240
Talk to the social worker or case manager at the hospital. They will be able to help formulate a plan. Is the insurance Humana by any chance? If so then they will have a hard time getting it approved. They are notorious for denying authorization for inpatient rehab. Another question- is the insurance outright denying inpt rehab or are they denying Touro specifically because it is out of network?
In any case, there are appeals processes.
In any case, there are appeals processes.
Posted on 10/17/17 at 8:49 pm to bott18240
During this 3-6 month period will be the time where most of the gains in functionality will take place.
Depending on where the bleeding occurred, there could definately be some motor planning, sequencing, and cognitive issues that will need to be addressed. Visual field and acuity may be affected too so can visual neglect (not recognizing one side of the body)
Hopefully occupational therapy will be needed too
Depending on where the bleeding occurred, there could definately be some motor planning, sequencing, and cognitive issues that will need to be addressed. Visual field and acuity may be affected too so can visual neglect (not recognizing one side of the body)
Hopefully occupational therapy will be needed too
This post was edited on 10/17/17 at 8:57 pm
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