Can a physician order a rehabilitation center stay for a patient even if the patient was not recently hospitalized for their illness?

Check with the insurance company about coverage requirements. My mom was denied coverage for rehab care when she was in the hospital for 3 days because it was coded as "observation."

Thanks NeedHelpWithMom:

LO (sister) has original Medicare with Medicare supplement. I believe there’s a 20 day minimum on rehab. As I replied to Momheal1, she was hospitalized in May, had home PT. Also home health aid for bathing, etc. However, she now seems to be back to square one. Can’t get appt with PC until end of next week. Alternative -another ER visit. I’m going to suggest she contacts her neurologist maybe get an earlier appt.

Her health issues are many: lupus, polymyositis for many years. Recently PN, cellulitis (foot wound - no diabetes), lower leg pain.

I have encountered the same thing - for inpatient rehab there has to be a 3 night hospital stay. My mom is also 74. You can start with home health or even a local outpatient rehabilitation center with a script from her doctor.
Sometimes it’s better to start with in home therapy (even for just one certification period which is usually 3/4 weeks) this sometimes allows them to get them a little stronger so they can build up strength to then meet the “goals” once they get to an outpatient rehab. With all the goals and guidelines set with insurance - I try to get moms stamina up with home health and then move onto outpatient so that she gets always has a better chance of achieving higher rehabilitation when she arrives at outpatient.

I suppose they can. I suppose it depends on the treatment being given. Not everything requires hospitalization first.

Not sure, but they can order home health, which is a good start. Rehab is more extensive. They both have occupational and physical therapy. Home health will even send an aide to help with bathing if needed.

When mom was in the hospital, they said that it required a ‘three day’ stay before entering a rehab facility. They gave me a list of facilities to choose from. I selected one and they brought her to the facility by ambulance.

Maybe insurance plays a part in it too. My mom had Humana Gold Plus.

Tell us more about your circumstances.