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Admits to IRF

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We are having a debate here right now, over what therapy documentation

is required to admit a patient to our rehab unit from acute care. We

are extremely short-staffed in acute care OT currently, so many of

these patients that have " PT/OT/Rehab evals " ordered, are seen first by

PT and the physiatrist, and there is a delay in the OT eval. Our

physiatrist is demanding to have an OT eval in the chart before he will

even consider admitting a patient, even if it is obvious based on the

PT eval that the patient will need rehab (i.e. new strokes, etc).

Shouldn't the physiatrist eval be sufficient to make this decision? At

prior facilities, we would admit patients all the time with only one

therapy eval done. Plus, the physiatrists are supposedly evaluating

patient function as well, right? I don't know of any Medicare

requirements on this, but maybe I'm mistaken. Any insight on this would

be much appreciated.

Weiss, PT

Inpatient Rehab Coordinator

Ingalls Memorial Hospital

Harvey, IL

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