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Posted on 10/17/17 at 8:51 pm to Ric Flair
Def helpful. Appreciate everyone's suggestions and input!!
Posted on 10/17/17 at 8:51 pm to Ric Flair
And stabilized
Posted on 10/17/17 at 8:52 pm to bott18240
Yea if "inpatient rehab" is denied the next step would be to see if they are approved for skilled nursing facility. They will still get 5-6 days of rehab but it doesn't have to be 3 hours daily.
Posted on 10/17/17 at 8:53 pm to bott18240
I used to work in billing at an inpatient rehab. Approximately 1k a day is correct. Of course it varies depending on the services required, the patient’s meds, etc.
Why won’t the insurance cover it? Have they tried doing an appeal? Sometimes insurance will say no, but the doctor can call and get it approved
Why won’t the insurance cover it? Have they tried doing an appeal? Sometimes insurance will say no, but the doctor can call and get it approved
Posted on 10/17/17 at 8:53 pm to Ric Flair
Do the ppo's still follow the maximum yearly amounts that pt, ot, and slp are allowed on Medicare part b? Or is the ppo a completely different animal
This post was edited on 10/17/17 at 8:55 pm
Posted on 10/17/17 at 8:53 pm to bott18240
One minor things re: speech therapy. It’s not just about how someone speaks, despite the name. Speech therapy works with patients with deficits or issues with facial and throat function. Think swallowing, etc. The recommendation fornST may be more along those lines.
Posted on 10/17/17 at 8:54 pm to bott18240
Keep the tiger (tongue) in it’s cage, learned that at an early age through speech therapy
Posted on 10/17/17 at 8:55 pm to lsucoonass
Right side bleed in brain. Left side loss of feeling. Sight is okay. Surgery went well for it and they got it all out. Feeling slowly coming back. Swelling is going down after surgery. Talking when awake.
Everyone is freaking out because they are saying months of rehab and all. And you were correct, they are saying the brain isn't recognizing the left side yet.
Everyone is freaking out because they are saying months of rehab and all. And you were correct, they are saying the brain isn't recognizing the left side yet.
Posted on 10/17/17 at 8:57 pm to lsucoonass
quote:
Do the ppo's still follow the maximum yearly amounts that ot, ot, and slp are allowed on Medicare part b? Or is the ppo a completely different animal
It’s mainly outpatient therapies that are set up like that. For inpatient therapy, they tend to deny the debility patients and a lot of ortho patients. Usually not strokes unless they are low level.
Posted on 10/17/17 at 8:57 pm to bott18240
Starting to give puréed food but swallowing is an issue
Posted on 10/17/17 at 8:57 pm to bott18240
Can't give you a time frame for that.
However a good pt or ot will use appropriate orientation techniques or even mirror therapy
However a good pt or ot will use appropriate orientation techniques or even mirror therapy
Posted on 10/17/17 at 8:58 pm to bott18240
I spent a few months inpatient rehab last year. Don't know what they would charge cash but they billed my insurance for almost $300,000.
Posted on 10/17/17 at 8:58 pm to Ric Flair
Yeah I wasn't sure how the inpatient or part a was exactly structured
Posted on 10/17/17 at 8:59 pm to bott18240
Months of rehab will be majority outpatient or home health, unless they go to snf at a nursing home which is 100 days
Inpatient rehab is typically a 10-14 day stay (for Medicare)
Inpatient rehab is typically a 10-14 day stay (for Medicare)
This post was edited on 10/17/17 at 9:00 pm
Posted on 10/17/17 at 9:00 pm to bott18240
Sounds like inpatient rehab is definitely appropriate. Will be pretty stupid of insurance not to approve. Hopefully they can appeal. Try to address patient on the left side to get him/her to attend to that side a little better for starters. Good luck
Posted on 10/17/17 at 9:00 pm to bott18240
With the left sided neglect, dysphagia, weakness, inpatient rehab should be a slam dunk to get approved, unless he/she can’t tolerate three hours/day (in 1/2 hour to 1 hour increments, not three hours straight).
Posted on 10/17/17 at 9:00 pm to bott18240
Not to freak you out but don't be surprised if there is limited mobility or strength in that left upper extremity
Posted on 10/17/17 at 9:01 pm to BR Tiger
quote:
One minor things re: speech therapy. It’s not just about how someone speaks, despite the name. Speech therapy works with patients with deficits or issues with facial and throat function. Think swallowing, etc. The recommendation fornST may be more along those lines.
When I did speech therapy it was much more focused on things like solving mental puzzles and detecting patterns than anything directly speech related.
Posted on 10/17/17 at 9:02 pm to bott18240
I have to say- 2 pages full of helpful and knowledgeable responses. I’m proud of the OT.
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