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Memorial Hospital
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Kent Hospital
 
Kent Rehabilitation Services
Admissions and Referrals

A referral for The Rehabilitation Center at Kent may be prompted by multiple people: patient, family members, physician, case manager, or insurance company. Sometimes a medical professional suggests Kent Rehab based on the patient's medical needs. Sometimes a family member or the patient themselves inquires about Kent Rehab based on their personal preference of location or reputation. Either way, it is your right to request a referral be placed to the facility of your choice.

Once a referral is made, the following process will occur:

  • A rehab liaison from The Rehabilitation Center at Kent Hospital conducts a comprehensive evaluation to determine if the patient meets criteria for acute rehabilitation. The screening includes a medical record review, discussion with healthcare personnel, and a meeting with the patient and/or family to address prior level of function and independence and to address any concerns or questions.
  • Simultaneously, we will verify insurance coverage and work with the patient's insurance carrier to attempt to obtain prior authorization, as necessary.
  • The next step is to offer a bed to the patient. Often, this process may occur within hours but may be extended if awaiting authorization from the insurance company.
  • If the patient does not meet acute rehab admission criteria or is denied pre-authorization from their insurance company, an explanation will be provided to the patient & other parties involved in the referral process. In most situations, an alternative post-acute rehabilitation level of care is more appropriate and will be recommended by the case manager.

The Rehabilitation Center at Kent Hospital is licensed as an acute inpatient rehabilitation hospital. The patient must meet the following criteria for admission to this level of care:

  • Require 24-hour physician intervention
  • Require 24-hour nursing care
  • Require at least 2 disciplines of therapy
  • Ability to participate 3 hours therapy (over the course of an 8-hour day)
  • Expected to exhibit significant progress within a reasonable amount of time

Because of our licensure, Medicare and some commercial insurance companies allow an inpatient admission from home, physician office, acute hospital, skilled nursing facility, long-term acute care hospital. In other words, there is no requirement for the patient to spend three (3) midnights in an acute hospital setting in order for Medicare to pay for their acute rehabilitation inpatient stay.

If you would like to visit our unit, please call our Admissions Team at (401) 737-7010 x33402. We would appreciate the opportunity to give you a tour.

Insurance and Payment Sources

Inpatient rehabilitation is covered in full or part by most health insurance plans, including Medicare. The Rehabilitation Center at Kent Hospital has contracts with major insurance companies and is willing to negotiate with other companies as needed. Medicare pays for the cost of inpatient rehabilitation provided the patient meets criteria on admission and throughout their stay. The medical director will decide if a patient meets medical criteria, but it is always subject to review from Medicare. Private insurance, Medicaid, and managed care benefits will be verified prior to admission and pre-authorization for admission will be obtained. This is not a guarantee of payment. Throughout a patient's stay, hospital employees will work with the insurance companies to obtain continued authorization. Private payment can be arranged through the Patient Services Representative in our Patient Finance Services department.

Third party funding sources such as Worker's Compensation and Vocational Rehabilitation can be explored as needed. Out-of-pocket expenses which you may incur depend on your specific insurance coverage, co-payments, and eligibility. Some patients may need to purchase durable medical equipment (wheelchairs, walkers, commodes, etc.) as this equipment may not be covered by a particular insurance plan. A financial counselor will be available to assist you and your family in understanding your benefits, co-payments, and responsibilities before or after admission.

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