Success Story: Case Manager Assists in Acute Inpatient Rehab

HiRes_MANPatient Diagnosis: The member met the medical necessity for a continued stay in Acute Inpatient Rehab.

Medical History: The patient was progressing and needed more time as an inpatient.

MCM Intervention: The MCM Case Manager contacted the fund office and received clarification regarding Acute Inpatient Rehabilitation benefits. The family and case manager were both informed shortly thereafter that they were still covered for Acute Inpatient Benefits. MCM was able to verify benefits, thereby authorizing the continued stay for the patient.