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Will I have to become the attending physician for my patient?
No. We have a Medical Director on staff with training and experience in physical medicine and rehabilitation. Our Medical Director will assume attending responsibilities to lead the rehabilitation program and the manage day-to-day medical needs of your patient. We provide ongoing communication, written and verbal, with the referring physicians.
What is my role in my patient’s rehabilitation program?
As the referring and/or primary care physician, we will automatically forward all progress reports to your office as you specify. Additionally, we conduct weekly team conferences, same day and time each week, which you are welcome to attend. We always welcome you to continue to follow your patient while in the unit, guidelines for concurrent care appear later in this documents. We will always schedule a return appointment for your patient with your office upon discharge.
How do I bill for my services?
Medicare - When providing concurrent specialty medical services you will bill your care under Medicare Part B using the following CPT Code categories:
- 99251-99254 Initial Inpatient Consultation (new or established)
- 99261-99263 Follow-up Consultation (established)
Concurrent Specialty Care
Services will be reimbursed when the specialty of the physicians and the diagnoses they are treating are not the same. Services provided must be medically indicated and appropriate per the diagnosis.
Will I lose my patient if I surrender attending physician responsibilities to the Unit’s physician?
No. We appreciate referring physicians continuing to monitor and participate in their patient’s recovery. During the course of your patient’s rehabilitation program, we will forward progress reports as you specify and upon discharge we will schedule a return appointment for your patient with your office, We conduct weekly patient care conferences to which we welcome your attendance.
Source: Section 4114 of the OBRA 1990
Medical Director Responsibilities
The Medical Director will be identified attending physician for each patient upon admission. The Medical Director is responsible for the routine medical care, in addition to the entire rehabilitation program, of the patient during the rehabilitation stay.
Responsibilities include:
- All admission and rehabilitation orders at the time of admission
- Management of general medical and rehabilitative programs
- A minimum of three visits per week
- Participation in weekly team conferences
- Periodic re-assessments
- Team conferences do not qualify as a separate physician’s visit.
The patient should be medically stable upon admission to the rehabilitation unit, however, concurrent medical care may be provided, granted there is a need for specialized medical services.
Two physicians can be reimbursed when the specialties and the diagnoses being treated are not the same.
- Documentation must be on the medical record and include:
- Review of Diagnosis
- Treatment/Changes in Treatment
- Response to treatment/programs towards goals
- Discharge Planning
To make a Referral
If you believe a person may benefit from our services, please telephone. A member of our staff will perform an assessment at no charge. Assessment can be conducted at the patient’s home, in the physician’s office or bedside, if the patient is currently hospitalized.
Last Modified:
May 9, 2007 11:21 AM
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