Admissions Information
Referrals to the Inova Rehabilitation Center may be made by physicians and other health care professionals, hospitals, insurance companies, home health agencies, and patients or their families. To be eligible to enter our inpatient unit, patients must:
- be medically stable
- have functional limitations requiring an interdisciplinary rehabilitation program
- have the ability to learn and/or have family support for education
When a patient is referred to an inpatient program, a nurse case manager visits or calls to assess the patient's condition, identify his/her needs and evaluate the patient's eligibility for the program. The nurse case manager consults with the patient and family, the appropriate program director at the center, physiatrists, and other rehabilitation team members to determine whether the inpatient facility is the right one for the patient. The nurse case manager also contacts the insurance company for authorization of the patient's stay. Rehabilitation services currently are reimbursed by Medicare, Virginia Medicaid and most insurance companies.
Liaison with Insurance Providers
When the patient's therapy is covered by insurance, the case manager maintains communication between the treatment team and the insurance company.
- Our case managers have experience working with insurance companies and understand the needs of external case managers.
- The case manager gathers and transmits information to support the utilization review process.
- The nurse case manager ensures the appropriateness of the admission through direct, onsite patient evaluations, whenever possible, and through extensive telephone and electronic communication when necessary.
- We involve insurance company representatives in all team and family meetings when that involvement is indicated or requested.
