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Please give a little more information. Are you wanting to transfer someone or yourself from one rehab to another? I asked a social worker about this once and was told it was difficult. If I remember correctly it had something to do with the compensation that had already been paid out to the first rehab and wouldn't be available for the second and the reluctance of the second to accept the patient from an existing rehab stay. In my case my mother who had CHF had an episode while in rehab and went back into the hospital and from there into a different rehab. The therapy was good at the rehab we wanted to transfer from. The nursing staff was the problem. Dispensing wrong meds. Not having meds. Broken call buttons. The management staff was in transition. Food their dietician recommended for my mother not available. My mother was very afraid and it was a huge culture shock. This place was advertised as the best available. High dollar senior living on the upper floors with concierge services. Government reimbursed rehabs were in the basement. They had a better score than they deserved from my experience. If you are wanting to transfer because you want to get your patient closer to home or some reason not having to do with complaints it might be easier. I'm not sure. Come back and tell us more about your situation and perhaps someone here can help.
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My experience was different, so I'll share that as it might help you. Despite pre-inspection and asking about issues on my checklist, I made one critical mistake when I selected a rehab facility. I forgot to ask about staff to patient ratios.

It was clear the first day of admission that I made a grievous error. The facility wasn't up to par because of the staffing level, and we needed to make a rapid change to another facility, which I had already checked out.

I contacted staff of the doctor who performed the recent surgery and the Admin staff of the substitute facility for guidance and was advised that Medicare might refuse to pay, but a letter from the surgeon addressing my concern over the unsatisfactory situations would help.

I also contacted Medicare directly and got similar advice.

Armed with letter in hand, I instituted the change. There was no problem with Medicare reimbursement, none whatsoever.

The only issue was the first facility was a joint venture of a local hospital and a for profit agency, and sent one of its ambulance for the transfer. One of the staff was unprofessional and even obnoxious. In addition, w/o sirens or lights, he sped the entire way from one facility to the other. I was almost hoping he'd get a ticket!
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Glad you answered GA. As I said I hadn't tried. Only asked the question of hospital social worker before she was transferred and it was a negative response. I kept close and monitored the best I could and was thankful the therapy portion was going well. But no way was I going back once we escaped.
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