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Examples of Medicare SNF coverage. In these 3 examples, assume the patients met all the requirements for Medicare coverage of SNF care (pages 7–8) They’re then admitted to a SNF because they need skilled care and are discharged from the SNF before their benefit period ends .
- Skilled nursing facility care
Your doctor or other health care provider has decided that...
- Skilled nursing facility care
What’s covered? Medicare covers these services in a skilled nursing facility (SNF): • Semi-private room (a room you share with other patients) • Meals. • Skilled nursing care. • Medical social services. • Medications. • Medical supplies and equipment used in the facility.
Your doctor or other health care provider has decided that you need daily skilled care (like intravenous fluids/medications or physical therapy). You must get the care from, or under the supervision of, skilled nursing or therapy staff. You get these skilled services in a Medicare-certified SNF.
The term “extended care services” means the following items and services furnished to an inpatient of a skilled nursing facility (SNF) either directly or under arrangements as noted in the list below: • Nursing care provided by or under the supervision of a registered professional nurse; •
Skilled care is health care given when you need skilled nursing or rehabilitation staff to manage, observe, and evaluate your care. Examples of skilled care are changing sterile dressings and physical therapy. Medicare will only cover skilled care when you meet certain conditions (see page 8).
If you or someone you care for needs Skilled Nursing Facility (SNF) care, read this booklet so you will know the following information: What Medicare covers and what you pay for services
CHECKLIST FOR MEDICAL RECORD DOCUMENTATION. Certification/Recertification. Certification – Include a certification statement signed and dated by the physician, physician’s assistant, clinical nurse specialist or nurse practitioner upon admission or as soon as is reasonable and practical.
