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The benefit period ends when 60 days in a row have passed without a need for hospital or skilled nursing care. If you go back to the hospital after that 60-day window, a new benefit period begins ...
A skilled nursing facility is a healthcare facility that provides in-person, 24-hour medical care. Medicare Part A may cover skilled nursing facility care for a limited time, and this article will ...
Medicare classifies nursing home care as either skilled or custodial. Medicare has four parts that cover various healthcare services, including hospital treatment, outpatient care, and ...
Under the current Medicare system, patients can get post-acute care, care after surgery or a stroke for example, from four different places: "a skilled nursing facility (SNF), a hospital-based inpatient rehabilitation facility (IRF), a long-term care hospital (LTCH), or from a home health agency."
The skilled nursing facility stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision (e.g., wound management) then the nursing home stay would be covered.
Nursing homes offer help with custodial care—like bathing, getting dressed, and eating—as well as skilled care given by a registered nurse and includes medical monitoring and treatments. Skilled care also includes services provided by specially trained professionals, such as physical, occupational, and respiratory therapists. [citation needed]
The OPPS is the system through which the CMS generally pays for services in a hospital outpatient facility. Medicare ... Go to the CMS-1786-FC ... inpatient care in the hospital. care in a skilled ...
The Government Accountability Office have concluded through an independent study that the therapy caps are not meeting the needs of patients. [7]The Study and Report on Outpatient Therapy Utilization by the Centers for Medicare and Medicaid Services (CMS) released in September 2002 concluded that older patients require more therapy than what the cap allowed: "patients who are female, older ...