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Reply to "Knee Replacement - Stairs"
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[quote=Anonymous]While a primary care doctor can order home therapy, currently you cannot get just OT. So if the doctor writes for home PT and OT or home nursing and home OT then it will be covered. How is her mobility now? Please be aware that the Medicare guidelines recently reverted back to pre COVID rules. This states that patients must have a three night qualifying stay coded as an inpatient in order to qualify for inpatient rehab in a Skilled nursing facility. Usually the joint replacement surgeries are coded as outpatient or extended surgical recovery (again forced by Medicare) so patients are expected to DC within 24 hrs. To be converted to inpatient status she would have to have a lot of trouble with pain meds or other medical issues like blood pressure complications, something out of the ordinary. So it's best to prepare for home. Do you have the option for her to stay on the first floor initially? Your hotel room idea could work as well. We have had patients DC from hospital to a hotel and then the home PT can actually go to the hospital to start the therapy sessions there and then continue when she comes home. A big issue is to make sure you clearly write out her med schedule for her Parkinson's meds so the hospital staff can put the correct timing on her chart. [/quote]
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