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Screening the Referral

Module 5: Admissions, Eligibility, and Medical Necessity ยท Lesson 1 of 3

Most admission problems are screening problems.

A complete referral shows a qualifying diagnosis from an appropriate provider, evidence of functional impairment, and a reason rehabilitation services will help. Missing any element, you gather it before admission rather than after.

Screening is also a fit conversation. A participant who wants nothing the program offers will not benefit, and enrolling them wastes their time and your authorization.

Key takeaways

  • Never admit around a missing element; obtain it
  • Fit and desire matter as much as eligibility