Reply to In Patient rehab or going home after Hip replacement?

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Reply to "In Patient rehab or going home after Hip replacement?"

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[quote=Anonymous]Medicare guidelines have changed recently. Total hip replacement and total knee replacement surgeries (when done on an elective/scheduled basis) are coded as "observation" status or "extended surgical recovery" status. Medicare requires a three night stay in hospital for medical necessity under "inpatient" status before someone can be approved for rehab stay. There are specific things that qualify to be changed to inpatient status and just being a certain age is not one of them.

During COVID the three night requirement was waived in order to move people through the hospital faster, so people could get to rehab easier after surgeries.

In May of this year the waiver was dissolved and the three night requirement came back into effect.

The good news is that recovery from a scheduled hip replacement is generally easier than recovering from a hip replacement/repair surgery after a hip fracture.  There have been many advancements in how the surgery is performed and what medication are given before/during/after the surgery that makes going home (sometimes even the ame day of surgery!) very possible.

The hospital social worker/case manager should be able to help you with resources for additional care- some nursing home/rehab facilities offer a set rate for private pay.

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