ALF

Home

  • No 24 hour supervision
  • Home: able to perform ADLs/IADLs or someone can help
  • if patient has dementia and need monitoring
    • memory clinic, usually ALF

ILF

  • Independent living facility (ILF)
    • like an apartment, someone can pass out meds, maybe 1 PT for whole facility
    • 3000−3000-5000 a month
    • sometimes Medicaid can cover. Medicaid does not cover dementia
    • Medicare does not cover

ALF

  • Assisted living facility (ALF)
    • 1 person assist only
    • Print for EPIC

LTC

  • Long term care (LTC)
    • often same building as SNF
    • nursing home
    • 2 person assist
    • require more ADL's than ALF
    • not covered by insurance
    • 7000−7000-9000 per month out of pocket
    • Medicaid can cover
    • shares room with another
    • don't need to qualify because paying out of pocket
    • FL2: needs assessment

SNF

  • Skilled nursing facility (SNF)
    • more acute rehab side
    • must have skilled needs: PT, wound care needs, nursing
    • FL2 paperwork for insurance/facility
    • 1-3 hours of therapy/day
    • Medicare covers 100% of 1st 20 days, then 80% after with deductible for 3 months, resets after 60 days
    • Can manage with wound care, IV abx, uncontrolled DM, check labs
    • Document only for EPIC

IPR

  • Inpatient rehab (IPR)
    • need to be able to go back home
    • need to be insured
    • minimum 3 hours therapy/day (1 hour PT/OT/ST or mixed)

LTAC

  • Long term acute care (LTAC)
    • stable sick patients
    • intubated/trached

Hospice

  • Hospice
    • Medicare A covers
    • either home or inpatient
    • inpatient: IV pain meds, comfort care, days to live
    • can go to long term care with hospice following
  • SNF then hospice
    • Medicare covers only rehab part of SNF, then $200-300 /day for hospice room and board
    • Medicare A: hospital stay and SNF, DME
    • Medicare B: outpatient visits, PT

HH

  • Home health
    • Medicare Part A or Part B
    • outpatient: Part B
    • from hospital: Part A