MANAGED CARE AND REHABILITATION - ISSUES RELATED TO COGNITIVE REHABILITATION

Managed care has affected the delivery of services in all health care sectors, although its impact on rehabilitation has been slower to take effect. These changes have required clinicians to provide more effici ent services that are demonstrated to have an impact on functional out come. However, in order to be reimbursed for specific rehabilitation s ervices, such as cognitive rehabilitation, it is necessary for clinici ans to become more knowledgeable regarding managed care, service deliv ery, and reimbursement issues. This article describes the impact of ma naged care on health care in general and on rehabilitation specificall y. In addition, current billing procedures and reimbursement issues as they relate to cognitive rehabilitation are discussed, and suggestion s for ways to secure reimbursement are presented for all disciplines p roviding cognitive rehabilitation services. Copyright (C) 1997 Elsevie r Science Ireland Ltd.