Get the free Inpatient Medicine/Rehab/ GEC Preadmission Referral Form

This document is a referral form used by healthcare professionals to refer veterans for inpatient care at a Community Living Center, detailing patient information, treatment needs, discharge plans,

How to fill out inpatient medicinerehab gec preadmission

How to fill out Inpatient Medicine/Rehab/ GEC Preadmission Referral Form

1. Gather patient information: Include the patient's full name, date of birth, and contact details.
2. Provide medical history: Fill in details regarding the patient's medical conditions, medications, and previous hospitalizations.
3. Indicate reason for referral: Clearly explain why the patient requires inpatient medicine, rehab, or GEC services.
4. Complete assessment details: Include any assessments or test results that support the referral.
5. List healthcare providers involved: Note all relevant doctors or specialists who are part of the patient's care team.
6. Review insurance information: Provide details about the patient's insurance plan to ensure coverage for the services requested.
7. Sign and date the form: Ensure that the form is signed by the referring physician or authorized personnel.

Who needs Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

1. Patients requiring specialized medical care that cannot be managed on an outpatient basis.
2. Individuals recovering from surgery or serious illness who need inpatient rehabilitation.
3. Patients with complex medical needs that require coordinated care through a comprehensive approach.

People Also Ask about

What kind of patients go to inpatient rehab?

Inpatient physical rehab is usually best for those with more serious functional impairments after an illness, injury or surgery, as well as individuals who have complex rehabilitative needs. Some situations that might require inpatient care include: Hip fracture. Joint replacement surgery or other orthopedic procedures.

Who is a candidate for inpatient rehab?

You may be a candidate for Inpatient Rehabilitation if your recovery from injury or illness involves: Close medical supervision by a physician with specialized training or experience in rehabilitation. Immediate access to consulting specialists, diagnostic testing, or life support services.

What is the 60% rule in rehab?

The 60% Rule is a Medicare facility criterion that requires each IRF to discharge at least 60 percent of its patients with one of 13 qualifying conditions.

What are the 13 rehab diagnoses?

Sixty percent of patients admitted to the unit must have 1 of 13 conditions: stroke, spinal cord injury, congenital deformity, amputation, major multiple trauma, fracture of the hip, brain injury, burns, active polyarthritis, systemic vasculitis with joint involvement, specified neurologic conditions, severe or

What are the 13 diagnoses for inpatient rehab?

Sixty percent of patients admitted to the unit must have 1 of 13 conditions: stroke, spinal cord injury, congenital deformity, amputation, major multiple trauma, fracture of the hip, brain injury, burns, active polyarthritis, systemic vasculitis with joint involvement, specified neurologic conditions, severe or

For pdfFiller’s FAQs

What is Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

The Inpatient Medicine/Rehab/GEC Preadmission Referral Form is a document used to refer patients for inpatient medical rehabilitation or geriatric evaluation and care prior to their admission to a healthcare facility.

Who is required to file Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

Healthcare providers, such as physicians or nurse practitioners, are typically required to file the Inpatient Medicine/Rehab/GEC Preadmission Referral Form on behalf of their patients.

How to fill out Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

To fill out the Inpatient Medicine/Rehab/GEC Preadmission Referral Form, a healthcare provider must accurately complete the patient’s personal information, medical history, and the reason for referral, along with any necessary tests or evaluations that have been performed.

What is the purpose of Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

The purpose of the Inpatient Medicine/Rehab/GEC Preadmission Referral Form is to ensure that patients are appropriately assessed and referred for necessary inpatient care, facilitating the coordination of their treatment and improving health outcomes.

What information must be reported on Inpatient Medicine/Rehab/ GEC Preadmission Referral Form?

The information that must be reported on the Inpatient Medicine/Rehab/GEC Preadmission Referral Form includes the patient’s demographic information, medical history, current medications, clinical findings, reason for referral, and any other relevant assessments or tests.