1-800-SUB-ACUT.E
1-800-782-2288

 

                                                                                                                        

Provider Relations and Contracting teams' role in funding subacute care

We understand your need to maximize your benefit dollars and your need to provide quality care to your beneficiaries. Our goal is to provide quality care in a cost effective manner for patients who require a high level of medical care management and advanced technology to sustain life. VitalCare America (SM) units are more cost effective than traditional acute care beds because beneficiary coverage is maximized through more efficient usage of resources.

PROVIDER RELATIONS:

  • Provide timely and professional on-site patient evaluations.
  • Provide competitive rates for cost effective service.
  • Facilitates regular clinical updates for your Case Managers.
  • Provide timely and efficient transfer by working with referring facility.

INSURANCE CONTRACTING:

Per Diem Rates:

    • Ventilator
    • Non-Ventilator

Compensation Schedule:

  • Non-Ventilator Subacute:
    • Orthopedic rehabilitation (i.e. post trauma and/or surgical procedures).
    • Wound Care.
    • Isolation.
    • Extensive respiratory care such as Pulmonary Toilet.
    • Tracheostomies with inner cannulas requiring suctioning, mists and oxygen.
    • Central lines.
    • Provision of IV services and supplies for hydration, pain management, administering of antibiotics, TPN and/or blood products.
    • Combined physical, occupational, speech and/or respiratory therapy; up to two (2) hours per day and up to three (3) times per week, as directed by the patient's physician.
  • Ventilator Dependent Subacute Services: Patients meet provisions listed above for Non-Ventilator Subacute Services and the following:
    • Patient may require minimal respiratory and/or rehabilitation services including up to two (2) modalities per day up to three (3) times per week from physical, occupational and/or speech therapy.
    • Ventilator dependent with tracheostomy.
  • Ventilator Dependent Subacute Services with Rehabilitation: Patients are ventilator dependent require:
    • Pre or post-rehabilitation physical, occupational, speech and/or respiratory therapy services, up to two (2) hours per day and up to five (5) times per week as directed by the patient's physician.
    • The patient may or may not have weaning potential.