Rehab & Nursing Center--Things to Know

Admission Procedures

The admitting process is dependent upon each resident’s status. There are different requirements for the Medicaid and Medicare programs than for insurance companies or for those who will be paying with their own resources.

The Social Service Department is ready to assist you in navigating the admitting process. We can fax or e-mail you the appropriate forms and answer your questions. For more information, 815-217-0322

Each resident must execute a Resident Contract prior to admission and these can be examined by clicking on the link.

Billing Practices

www.medicare.gov

M A & B

Medicare A covers acute care (e.g., hospital stays) and, if certain qualifying conditions are met, up to 100 days in a skilled facility. In long-term care, the Part A benefit usually means intensive rehabilitation service to speed recovery.

Medicare B usually covers outpatient visits (such as physician visits, diagnostic tests, therapy sessions). Part B benefits do not apply when a Medicare beneficiary is in a covered Part A stay.

www.ohca.com/docs/medicare_coverage.pdf

www.medicare.gov/Publications/Pubs/pdf/10116.pdf

Medicare Part D is Medicare’s prescription drug coverage program. This program became effective January 1, 2006. Those eligible for Medicare are also eligible to participate in the Part D program. Participants may chose a plan, all of which are run by private companies. There are premiums and other participation requirements, but the intent of the program was cost savings to consumers for prescription drugs. For more information, go to the websites below.

The facility utilizes Omnicare of Northern Illinois as its pharmacy provider. Omnicare honors most prescription drug plans approved by Medicare D. If a resident is enrolled in a plan that is not honored by Omnicare, Medicare D allows for a change to a plan that is. Our facility utilizes only one pharmacy so there is a uniform dispensing system in place. This provides the safest, most cost effective method of medication administration. For more information:

www.medicare.gov

www.aarp.org

Activity Schedules

Residence Contracts

All residents (or their representatives) must execute a Resident Contract upon admission. The contract provides a written specification of the responsibilities of the resident and the facility.

attach samples of the different resident care contracts

DeKalb County, Illinois

Rehab & Nursing Center

Things to Know