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general medical services, housing, accommodation support, social support, community and domiciliary care; and, Many insurers require not only that a physician receive their authorization before prescribing unusual or costly treatments, but even that general medical services be covered only when provided by hospitals or laboratories that charge the lowest fees. Each facility must offer round-the-clock admissions; four hours of nursing care seven days/week; have a nursing mix of 35% RNs, 25% LPNs and 40% aides; offer general medical services two to three days/week and physiatry one to two visits/week; provide dedicated space and equipment; employ a dedicated nurse manager and on-site nurse case managers; document outcomes; and have not only Medicare certification, but accreditation by JCAHO. |
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