Day to day operation of the CORF
is overseen by a facility administrator who is responsible for overall
management, as well as implementation and enforcement of facility policy and
procedure. The administrator bears responsibility for all staff and personnel
providing facility services, and typically has a background in health care
administration, including an appropriate degree as well as related clinical
experience, such as nursing, PT, or OT. Actual medical procedures, treatment
plans, and hands-on health care provision is overseen and supervised by the
facility Medical Director. Facility operating days and hours are set by the
administrator and may be changed as situations and demand warrants. There are no
regulations concerning facility name, but names such as “Newark Rehabilitation
Services” or “Outpatient Therapy Center of Brookville” works better than
“Newark CORF.” You may know
what CORF stands for, but very few other do.
Medical
Director: An accredited MD or DO with a minimum of one year
of training in the medical management of rehabilitation patients, and at least
one additional year of full or part-time experience in a rehabilitation setting.
Medicare conditions of participation require the physician to be on facility
premises for the time needed to supervise and provide medical care, direction,
consultation, and coordination of the requisite plan of treatment for referred
patients. The director will assist in establishment of the facility patient care
policies, and participate in patient review, assessment, treatment plan
supervision, and facility utilization review activities. The Medical Directors
employment relationship with the facility should be that of an independent
outside service provider and not as an employee. Payment for services provided
can be negotiated based on projected hours needed for file and paperwork review
and oversight. CORF patients can only receive treatment based on an MDs written
prescription for care. The Medical Director may perform an initial evaluative
exam for the purpose of corroborating the validity of the prescription for care.
A separate office area is required for the Medical Director so that evaluative
and follow up exams can be performed in private. Co-Medical Director positions
are allowed as well, giving a facility the ability to have the involvement of
more than one qualified MD/DO as members of the facility review and advisory
panel.
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