How to Refer a Patient

What physicians and case managers should know

Physicians and case managers may not be aware that Medicare requires that only 60% of acute inpatient rehabilitation patients have a CMS-13 diagnosis, which are:

• Amputation
• Brain injury
• Burns
• Spinal Cord Injury
• Stroke
• Congenital deformity
• Hip fracture
• Joint Replacements
• Major multiple trauma 
    - Multiple fracture
• Neurological disorders  
    - Multiple sclerosis 
    - Motor neuron disease 
    - Encephalopathy 
    - Critical illness myopathy/polyneuropathy 
    - ALS 
    - Parkinson’s disease 
    - Guillain Barré
• Systemic vasculidities with joint inflammation
• Active rheumatoid arthritis, Psoriatic Arthritis, Seronegative Arthropathies
• Severe or Advances Osteoarthritis 

Other rehabilitation diagnoses and conditions doctors and case managers should consider for rehabilitation may include diagnoses such as:

• Immune Deficiency Diseases
• Abdominal aortic aneurysm
• Cardiac conditions such as
• Coronary artery bypass graft (CABG) 
• Congestive heart failure (CHF)
• Myocardial infarction (MI)
• Laminectomy
• Neuropathy
• Orthopedic injuries
• Pneumonia
• Respiratory failure
• Wound care
• Conditions affecting mobility, activities of daily living (ADL’s), swallowing or cognition/thinking abilities
• Late effects from previous neurological injury or illness, i.e. brain injury, stroke or spinal cord injury
• Other conditions or complications

To refer your patient to a HealthSouth hospital, contact the Admissions Department at a  HealthSouth hospital near you .

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