Case Presentation: A 33‐year‐old woman presented to the emergency department after a syncopal episode. She endorsed dizziness on standing and palpitations prior to the event. Her review of systems was notable for the following: 2 months of progressive fatigue, cold intolerance, constipation, exertional dyspnea, and excessive somnolence. Her exam revealed orthostatic tachycardia, thyromegaly, and an […]

Background: The insurance authorization process for Inpatient Rehab Facility (IRF) and Skilled Nursing Facility placement is lengthy. It takes several days for insurance companies to make decisions regarding patient disposition. This creates increased length of stay (LOS) for otherwise medically stable patients. Several factors contribute to delays and include the lack of weekend authorization staff […]