Originally Posted by jaluck In a nutshell...the 75% rule means that 75% of admits have to fall into a group of diagnosis (HICVA 10..think I spelled it right)...for example we won't get any ortho pts. unless they are like> 85 and have co-morbidities...or 2 joints etc..no more basic hips & knees in the future. Right now we only have to be 50% compliant...but its gonna get worse, If we don't comply medicare does not have to pay!!!!!! Do you currently work in an acute rehab???? If so you WILL hear about it if you have not...which would be kinda hard to believe if you haven't...good luck.....
hey there! i'm also working in acute rehab in florida, palm beach county, and we've been hit hard by the new rules. very VERY low census, almost half the hospital closed. there have been rumors that if it keeps up like this we'll go SNF
and as if the new rules weren't bad enough, soon reimbursment will be based on pt satisfaction. we try our hardest, but not everyone can have therapy whenever they want, have their own room and lobster for dinner. and that is honestly what some people expect! it's a hospital, not a hotel. jeez.
75% rule!!!!
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