All times are subject to change. They are to be segregated in areas designed by their admitting service or in the Emergency Room. Certain units are excludable from the provisions of Medicare DRG reimbursement and, as such, they have been assigned provider numbers which are different from non-DRG exempt units. These units include both Psychiatry units, and rehab at the Children's Rehabilitation Center. Formal discharges are required and new admissions must be entered into the MIS system.
Therapeutic furloughs are generally non-covered portions of a patient's stay.
Most carriers will not authorize payment for them and, therefore, the non-covered portion of the stay becomes the patient's responsibility. Surgical furloughs, however, are appropriate in certain instances. When considering a possible surgical furlough, consult the Utilization Management Coordinator on the Nursing Unit. Surgical furlough forms are available on each nursing unit and the instructions must be followed. When the patient returns he is transferred to the appropriate unit.