How to Refer a Patient

How to refer a patient

What physicians and case managers should know

Physicians and case managers may not be aware that Medicare requires that only 60% of acute patients have a CMS-13 diagnosis, which are:

  • Amputation
  • Brain injury
  • Burns
  • Spinal Cord Injury
  • Stroke
  • Congenital deformity
  • Hip fracture
  • Joint Replacements
  • Major multiple trauma
    • Multiple fracture
  • Neurological disorders 
    • Multiple sclerosis
    • Motor neuron disease
    • Encephalopathy
    • Critical illness myopathy/polyneuropathy
    • ALS
    • Parkinson’s disease
    • Guillain Barré
  • Systemic vasculidities with joint inflammation
  • Active rheumatoid arthritis, Psoriatic Arthritis, Seronegative Arthropathies
  • Severe or Advanced Osteoarthritis

Other rehabilitation diagnoses and conditions doctors and case managers should consider for rehabilitation may include diagnoses such as:

  • Immune Deficiency Diseases
  • Abdominal aortic aneurysm
  • Cardiac conditions such as
    • Coronary artery bypass graft (CABG) 
    • Congestive heart failure (CHF)
    • Myocardial infarction (MI)
  • Laminectomy
  • Neuropathy
  • Orthopedic injuries
  • Pneumonia
  • Respiratory failure
  • Wound care
  • Conditions affecting mobility, activities of daily living (ADL’s), swallowing or cognition/thinking abilities
  • Late effects from previous neurological injury or illness, i.e. brain injury, stroke or spinal cord injury
  • Other conditions or complications 

Contact us

To make a referral or for more information, contact our admissions department at 814 359-5896 or our afterhours number at 800 842-6026 or 814 359-3421 or Brandy.McCardle@HealthSouth.comYou will be put in contact with one of our rehabilitation liaisons to perform a pre-admission screening and coordinate transfer to our hospital.

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