Treatment FAQ

what is outpatient versus inpatient treatment

by Dr. Tess O'Reilly III Published 3 years ago Updated 2 years ago
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The main difference between outpatient and inpatient is where they are offered. Inpatient treatment, because it takes place in a closed, protected environment, is often more thorough and intensive than outpatient treatment because it allows fewer chances for relapse during the trying early weeks of therapy.

The basic difference between inpatient and outpatient care is that inpatient care requires a patient to stay in a hospital overnight and outpatient does not.Apr 22, 2021

Full Answer

What is the difference between inpatient and outpatient care?

Here’s how your plan covers you for care and services:

  • You pay for care and services until you meet your plan deductible.
  • Once you meet your deductible, your health plan kicks in to start sharing costs as part of coinsurance. ...
  • If you hit your out-of-pocket maximum for the year—that’s the most you’re required to pay out-of-pocket—then your health plan will start paying 100% of the costs for your care.

What to expect from inpatient care?

Inpatient care is provided in a facility—often a hospital, but also nursing facilities and free-standing hospice houses—that can provide around-the-clock clinical care. The atmosphere in an inpatient hospice setting is markedly different from that of an acute-care facility. The inpatient hospice unit is calmer and more homelike.

Are You a hospital inpatient or outpatient?

You’re an inpatient starting when you’re formally admitted to the hospital with a doctor’s order. The day before you’re discharged is your last inpatient day. You’re an outpatient if you’re getting emergency department services, observation services, outpatient surgery, lab tests, or X-rays, or any other hospital services, and the doctor hasn’t written an order to admit you to a hospital as an inpatient.

How much does inpatient rehab cost?

Some also offer memory care and escalating levels of health care, but not all do ... inpatient in a hospital for at least three days and your doctor feels you need specialized rehab or nursing care after discharge, Medicare may cover part of your costs ...

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What is the difference between an outpatient and an inpatient?

What's the main difference between inpatient and outpatient care? Generally speaking, inpatient care requires you to stay in a hospital and outpatient care does not.

What is an example of an outpatient?

Outpatient care, sometimes called ambulatory care, is any service you receive without being admitted to a hospital or for a stay shorter than 24 hours. Some examples of outpatient services are X-rays and other imaging procedures, minor surgeries, some cancer treatments, and routine physicals.

What does it mean to be treated as an outpatient?

Definition of outpatient : a patient who is not hospitalized overnight but who visits a hospital, clinic, or associated facility for diagnosis or treatment — compare inpatient.

Who is considered an outpatient?

Outpatient care, also called ambulatory care, is anything that doesn't require hospitalization. An annual exam with your primary care physician and a consultation with your neurologist are both examples of outpatient care. But emergent cases can also be considered outpatient care.

What are the most common outpatient procedures?

Some common outpatient surgeries include:Arthroscopy.Breast Biopsy.Burn Excision/Debridement.Cataract Surgery.Caesarean Section.Circumcision.Dental Restoration.Gastric Bypass.More items...

What is considered an outpatient procedure?

Outpatient surgery is when you have a surgical procedure done and then later that same day you go home. Outpatient surgery can also be called ​“same-day” surgery or ambulatory surgery. Inpatient surgery, on the other hand, is when you have surgery and are required to spend at least one night in the hospital.

What is an example of an inpatient facility?

Types of inpatient facilities include acute-care hospitals, rehabilitation centers, psychiatric hospitals, addiction treatment centers and nursing homes. Most common are acute care hospitals, which provide immediate to short-term care for patients with life-threatening or potentially life-threatening conditions.

What does outpatient basis mean?

An individual (patient) who receives healthcare services (such as surgery) on an outpatient basis, meaning they do not stay overnight in a hospital or inpatient facility.

What is inpatient healthcare?

Inpatient care starts with admission to the hospital for medical treatment. Most patients enter inpatient care from a hospital's Emergency Room (ER) or through a pre-booked surgery or treatment. In most cases, the treatment must be serious and require in-depth observation and monitoring.

What does inpatient mean in medical terms?

What is an inpatient? In the most basic sense, this term refers to someone admitted to the hospital to stay overnight, whether briefly or for an extended period of time. Physicians keep these patients at the hospital to monitor them more closely.

What does outpatient mean in health insurance?

What is outpatient cover? Outpatient cover pays for diagnostic tests and consultations that do not require a hospital bed overnight, such as blood tests, X-rays, MRI and CT scans. Many providers also cover minor procedures like wart removal or endoscopies under an outpatient option.

What is the difference between inpatient and outpatient care?

The difference between inpatient versus outpatient care matters for patients because it will ultimately affect your eventual bill. Outpatient care involves fees related to the doctor and any tests performed. Inpatient care also includes additional facility-based fees.

What is an inpatient?

What is an inpatient? In the most basic sense, this term refers to someone admitted to the hospital to stay overnight, whether briefly or for an extended period of time. Physicians keep these patients at the hospital to monitor them more closely.

Does Medicare cover skilled nursing?

But if you stay overnight in the hospital under observation status, Medicare still considers you an outpatient and will not cover care in a skilled nursing facility. It can certainly be confusing, so don’t be afraid to ask the medical team about your status. They’re used to these types of questions.

Is a primary care physician considered an outpatient?

Primary care physicians have traditionally been considered outpatient providers, while specialists are thought of as inpatient physicians. But that’s really an oversimplification, particularly when you consider that hospitalists bridge the gap by providing general medical care to inpatients.

What Is Inpatient?

For patients recently released from emergency care, the most likely next step is an inpatient facility. Often located on or near a hospital property, these facilities provide ongoing medical support. Due to their proximity to hospitals, doctors and nurses can continue working with a patient after they leave the hospital.

What Is Outpatient?

When it comes to what happens inside inpatient vs. outpatient treatment, the differences are intentionally few. Outpatient facilities continue the work of the inpatient, just as the latter does with hospital care. Once released from inpatient, outpatient treatment is optional though strongly advised.

Understanding the Difference

In short, the inpatient tends to be more focused on initial detox and dealing with extreme withdrawal. Patients just recovering from a medical emergency because of their addiction likely will be placed in one near where they received emergency care. Outpatients facilities provide similar services but are more focused on the return to life.

Treatment Options

For the most part, there are five primary treatment options used by top rehab facilities. Here are a list and a brief description of each option. They are listed from least intensive to most intensive:

Outpatient Treatment

From a patient’s perspective, outpatient treatment would be considered less invasive than inpatient treatment. This would be because the patient maintains a substantial amount of control over their life during outpatient treatment. They are not required to live in the outpatient treatment facility full-time.

Inpatient Treatment

Placement is an inpatient treatment facility is usually determined by the extent of the patient’s addiction. It is intended for patients who have a severe addiction and need round-the-clock monitoring for their own safety.

What is an IOP?

A step down from inpatient but a step up from outpatient, IOPs offer a more focused level of care with added flexibility. It follows the typical outpatient model (evening classes, patients can still live at home, etc.) but the treatment sessions are longer and may happen more frequently throughout the week.

How long does a residential program last?

A long-term residential program will usually combine treatment sessions and a sober living environment for several months (or even years) at a time. These types of programs offer the most intensive form of recovery help out of all the programs.

Does addiction treatment guarantee sobriety?

Though addiction treatment doesn’t guarantee a life of sobriety, researchers in the field have identified a number of core qualities of programs that offer the highest levels of success. Both inpatient and outpatient programs can offer these characteristics.

What is Inpatient Care?

Inpatient care, sometimes called residential clinical care or residential care, offers round-the-clock treatment for people addicted to drugs or alcohol.

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Resources

National Institute on Drug Abuse. “Treatment Approaches for Drug Addiction.” Drugabuse.gov, 2018, www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction.

What is the difference between inpatient and outpatient care?

What’s the main difference between inpatient and outpatient care? Generally speaking, inpatient care requires you to stay in a hospital and outpatient care does not. So the big difference is whether you need to be hospitalized or not.

What is inpatient care?

Inpatient care is care provided in a hospital or other type of inpatient facility, where you are admitted, and spend at least one night — sometimes more — depending on your condition. As an inpatient: You are under the care of doctors, nurses, and other types of health care professionals within a hospital. You are often admitted to ...

How does a health plan cover care and services?

Here’s how your plan covers you for care and services: You pay for care and services until you meet your plan deductible. Once you meet your deductible, your health plan kicks in to start sharing costs as part of coinsurance. For example, you may pay 20% of the cost for services and your plan may pay the remaining 80%.

What are some examples of inpatient care?

Examples of inpatient care include: Serious illness, such as flu, stroke, heart attack. Traumatic injury. Severe burns. Serious mental health issues, treatment for substance use disorder, and overdoses. Chronic diseases, such as cancer and COPD, that require specialized treatment and ongoing care.

What are the types of outpatient services?

Types of outpatient care and services include: Medical screenings such as mammogram, colonoscopy, and endoscopy. Oral surgeries and other dental procedures, such as extractions, implants, root canal, and gum graft. Minor surgeries and procedures that don’t require advanced medical care, such as laser surgery, hand or foot surgery, mole removal, ...

What happens if a doctor decides you no longer need inpatient care?

Once a doctor decides you no longer require inpatient care, you are discharged from the facility.

What are some minor surgeries that don't require advanced medical care?

Minor surgeries and procedures that don’t require advanced medical care, such as laser surgery, hand or foot surgery, mole removal, and Lasik eye surgery. Certain types of treatment used for ongoing or long-term illnesses, such as dialysis and chemotherapy.

Addiction Therapy

As we’ve just said, treatment for drug and alcohol addiction usually fall into one of two categories:

Inpatient Rehab

This is also known as “residential treatment” so don’t let the overlap in terminology confuse you.

Outpatient Rehab

The main advantage to outpatient rehab is that it gives the patient far more freedom. This is especially handy for addicts who need to hold down a job or care for children.

Did You Learn a Thing or Two About Outpatient Treatment?

We hope this has given you a better idea of the kind of treatments available to you and your loved ones. Here at BrainSpark health, we want to help you get on the road to recovery.

What is inpatient treatment?

It is meant to put some distance between you and your drug of choice and disrupt destructive habits and routines that contribute to addiction.

Is outpatient treatment the same as inpatient?

Outpatient care has the same overall intention as inpatient care , though the approach relies on a lot of self-direction. Outpatient treatment is recommended for newly sober individuals or anyone who needs extra support to help them stay on track in recovery.

What are the benefits of outpatient treatment?

There are several benefits to outpatient treatment that make it the best choice for many people: 1 You can live in your home while receiving treatment. This works if your family and friends are a support system. 2 The cost of treatment is typically much lower for outpatient care compared to inpatient care. 3 There are many different types of counseling and therapy offered in this setting; you can choose the level of intensity of care that works best for you. 4 Appointments can be made in the evenings or on weekends to accommodate work schedules. 5 Some outpatient programs can treat patients with co-occurring problems or disorders, such as depression, eating disorders, bipolar disorder, or post-traumatic stress disorder.

Why is inpatient rehab called residential rehab?

Inpatient rehab is also called residential rehab because you live at the rehab facility. Inpatient rehab can be effective for people with severe problems with drugs or alcohol, and especially people who are dealing with other mental health conditions.

What is a short term rehab program?

Both short-term and long-term inpatient rehab programs are designed to help you with detoxification and prepare you for life after treatment. Residential facilities provide care 24 hours a day, usually in nonhospital settings. You are never alone while working to overcome your addiction.

What is the best treatment for substance abuse?

There are many types of substance use treatments, including detox, therapy , and counseling. These fit into two categories: outpatient and inpatient rehab. Your needs and the severity of your substance use problem will help determine which type of rehab is best for you. Both outpatient and inpatient rehab will help you stop using drugs ...

What is step down therapy?

Most programs involve individual or group counseling and use a step-down approach, which means sessions become less intensive and frequent as you grow during treatment. These programs help patients overcome their drug or alcohol dependence and then maintain their recovery over the long-term.

Is outpatient care the best?

However, outpatient care may not be the best choice for you if : You experience constant urges to use. Outpatient facilities are not open round-the-clock and do not always offer 24-hour support. You have a hard time showing up to group sessions on your own.

Can you live at home after outpatient treatment?

People who choose outpatient treatment can continue to live at home as they recover, allowing them to take care of children or family members, keep up with their jobs, and stay on track in school. Outpatient care typically costs less than inpatient rehab, but the level of support may be less intensive.

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Treatment Options

  • For the most part, there are five primary treatment options used by top rehab facilities. Here are a list and a brief description of each option. They are listed from least intensive to most intensive: 1. Outpatient– patient reports for scheduled treatment sessions on a regular basis 2. Intensive Outpatient– similar to outpatient except the patient is required to spend an extensive amount of …
See more on lifescaperecovery.com

Inpatient vs. Outpatient Treatment: What’s The difference?

  • In this section, information will be made available to help people understand the main differences between the outpatient and inpatient treatment options. This information should be used as a guideline to set expectations. Remember, things may vary from one treatment facility to the next. The information provided is general in nature.
See more on lifescaperecovery.com

Outpatient Treatment

  • From a patient’s perspective, outpatient treatment would be considered less invasive than inpatient treatment. This would be because the patient maintains a substantial amount of control over their life during outpatient treatment. They are not required to live in the outpatient treatment facility full-time. Instead, they are required to report for...
See more on lifescaperecovery.com

Inpatient Treatment

  • Placement is an inpatient treatment facility is usually determined by the extent of the patient’s addiction. It is intended for patients who have a severe addiction and need round-the-clock monitoring for their own safety. During their time in the facility, the patient undergoes a lot of intensive individual therapy. They are usually required to also participate in group therapy sessio…
See more on lifescaperecovery.com

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