Regarding the facility standards for rehabilitation (disuse syndrome rehabilitation fee)
Disuse syndrome rehab fee (I)
Disuse Syndrome Rehabilitation Fee (I) (Calculated days: 120 days, Points: 180 points)
| Beyond the calculated days | Insured persons requiring long-term care, etc. 108 points [86 points] up to 13 units/month If the target setting support and management fee is not calculated (after 40 days), 97 points [78 points] *[ ] applies to cases where outpatient patients receive the service at a medical institution that has not provided long-term care insurance outpatient rehabilitation, etc., in the past year. |
|---|---|
| Requirements | Must have filed a notification for Cerebrovascular Disease Rehabilitation (I). If the notification for the Cerebrovascular Disease Rehabilitation Department (I) has been filed, there is no need to separately file a notification with the head of the Regional Bureau of Health and Welfare for the Disuse Syndrome Rehabilitation Department (I). |
| Physician and staffing requirements | The full-time physician exclusively assigned, full-time physical therapist dedicated, full-time occupational therapist dedicated, and full-time speech-language-hearing therapist dedicated under the facility standards for the Cerebrovascular Disease Rehabilitation Fee (I) shall also serve concurrently as the exclusively assigned or dedicated personnel for the Disuse Syndrome Rehabilitation Fee (I), respectively. |
| Other requirements | In an insurance medical institution that provides only speech-language-hearing therapy, if the facility does not meet any of (1) through (4) of Section 40, "Cerebrovascular Disease Rehabilitation Fee (I)," but meets all of the criteria from (a) through (d) of (5) (hereinafter referred to as criteria (a) through (d) below), thereby satisfying the criteria for the Cerebrovascular Disease Rehabilitation Fee (I), it may bill for the Disuse Syndrome Rehabilitation Fee (I) exclusively for speech-language-hearing therapy. A: At least one full-time dedicated physician must be on staff. A: At least three full-time, dedicated speech-language-hearing therapists are on staff. C: Must have a dedicated individual treatment room with consideration for shielding, etc. (measuring 8 square meters or more internally). E: Must be equipped with instruments and apparatus required for speech-language-hearing therapy, such as audiometers, audio recording and playback devices, and video recording systems. |
Disuse syndrome rehab fee (II)
Disuse syndrome rehabilitation fee (II) (calculation days: 120 days, points: 146 points)
| Beyond the calculated days | Insured persons requiring long-term care, etc. 88 points [70 points] Up to 13 units/month If goal setting support and management fee is not calculated (after 40 days) 79 points [63 points] *[ ] applies to cases where outpatient patients receive the service at a medical institution that has not provided long-term care insurance outpatient rehabilitation, etc., in the past year. |
|---|---|
| Requirements | Must have filed notification for the Cerebrovascular Disease Rehabilitation Department (II). If the notification for the Cerebrovascular Disease Rehabilitation Department (II) has been submitted, there is no need to separately submit a notification to the Director of the Regional Bureau of Health and Welfare (Branch Bureau) as the Disuse Syndrome Rehabilitation Department (II). |
| Physician and staffing requirements | The full-time physician dedicated in-house, the full-time physical therapist dedicated exclusively, the full-time occupational therapist dedicated exclusively, and the full-time speech-language-hearing therapist dedicated exclusively under the facility standards for the Cerebrovascular Disease Rehabilitation Department (II) shall each also serve as the dedicated or exclusively assigned personnel for the Disuse Syndrome Rehabilitation Department (II). |
Disuse syndrome rehab fee (III)
Disuse Syndrome Rehabilitation Fee (III) (Calculated days: 120 days, Points: 77 points)
| Beyond the calculated days | Insured persons requiring long-term care, etc. 46 points [37 points] up to 13 units/month If the goal-setting support and management fee is not calculated (after 40 days), 41 points [33 points] *[ ] applies to cases where outpatient patients receive the service at a medical institution that has not provided long-term care insurance outpatient rehabilitation, etc., in the past year. |
|---|---|
| Requirements | Must have notified the Cerebrovascular Disease Rehabilitation Department (III). If the notification for the Cerebrovascular Disease Rehabilitation Fee (III) has been submitted, there is no need to separately submit a notification to the Director of the Regional Bureau of Health and Welfare for the Disuse Syndrome Rehabilitation Fee (III). |
| Physician and staffing requirements | The full-time physician exclusively assigned, full-time physical therapist dedicated, full-time occupational therapist dedicated, and full-time speech-language-hearing therapist dedicated under the facility standards for the Cerebrovascular Disease, Etc. Rehabilitation Department (III) shall each also serve as the exclusively assigned or dedicated personnel for the Disuse Syndrome Rehabilitation Department (III). |
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