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inpatient rehabilitation facility

What is an inpatient rehabilitation facility?

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Medicare Part A ‘hospital insurance’ – coverage of inpatient care

Medicare Part A ‘hospital insurance’ – coverage of inpatient care

Medicare Part A (hospital insurance) pays for a range of inpatient care in hospitals, skilled nursing facilities, and critical-access hospitals. Part A also covers some home healthcare and hospice services.

certificate of medical necessity (CMN)

certificate of medical necessity (CMN)

A doctor must sign and submit a certificate of medical necessity before a Medicare enrollee can receive coverage for certain medical equipment.

What is an inpatient rehabilitation facility?

An inpatient rehabilitation facility is a facility licensed under state laws to provide intensive rehabilitative services. An inpatient rehabilitation facility will be able to provide more intensive rehabilitation than a skilled nursing facility or home-based rehabilitation service.

A patient who has a knee replacement may need care in a skilled nursing facility during the rehabilitation process, whereas a patient who has suffered a stroke or a spinal cord injury may need care in an inpatient rehabilitation facility. Medicare will cover inpatient rehabilitation facility care if such care is deemed necessary.

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