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Doctor insights on: Skilled Nursing And Medicare

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Reimbursement for skilled nursing from medicare?

Reimbursement for skilled nursing from medicare?

21 days: Medicare will pay for post hospital care in a rehab facility generally 21 days and possibly more with a co pay.Medicare does not pay for long term care. ...Read more

Dr. John Gore
944 doctors shared insights

Medicare (Definition)

Medicare is a federal program that pays for certain health care expenses of individuals who are 65 years or older. It is divided into three parts, with Part A covering hospital bills, Part B covering doctor bills, and Part C providing the option to choose from a package of health care plans. Individuals who have Medicare ...Read more


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Are skilled nursing facilities covered by medicare?

Depends: In california if a patient has been in the hospital for at least 72 hours, a patient quailifies for rehabilitation services which is covered by medicare part a. Once the "part a days" are used or the person no longer is benifitting from rehab, then the person is discharged home. If the person needs to stay to live, either family pays for room & board or medicaid covers this. ...Read more

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Dr. Gutti Rao Dr. Rao
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Will all skilled nursing facilities provide IV therapy?

Dr. Gutti Rao Dr. Rao
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Will  all skilled nursing facilities provide IV therapy?

Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service. ...Read more

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What are skilled nursing facilities?

What are skilled nursing facilities?

Level of care needed: A skilled nursing facility describes a center catering to the needs of patients who need a level of care sometimes requiring the skills of a nurse but not that of a hospital. Included are those needing help with body functions, feeding, medications or mobility at various ages. Generally, a treatment plan coordinated with a physician monitored by the nurses is part of the process. ...Read more

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What is skilled nursing center vs nursing home?

What is skilled nursing center vs nursing home?

Skilled Nursing : Facilities (snf) have nursing home level of care within their building. For example, one wing of the snf or certain rooms are dedicated to people receiving short term rehabilitation services (those who will not be living there once therapy is complete) and those who stay long term. People who live there are under custodial care, or the same level of care as a nursing home. ...Read more

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What is difference between assisted living and skilled nursing center and nursing home?

What is difference between assisted living and skilled nursing center and nursing home?

Levels of care: The highest level of care is delivered in the hospitals. Out of the hospital the highest level of care is in a skilled nursing facility that can give complete custoidial care including total patient assistance with daily living, giving medications and intravenous therapy, and all necessary care. The next level of care are assisted living homes that can help people who need less nursing care. ...Read more

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Why is hospice located in skilled nursing facilities?

Why is hospice located  in skilled nursing facilities?

High level needs: Hospice is extremely useful in skilled nursing facilities for patients who have a high symptom burden and cannot be managed at home or do not have a home or home caregivers that allow for this. Hospice clinicians are specially trained to deal with symptoms and generally add expertise to the staff at skilled nursing facilities because the patient will get extra attention. ...Read more

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What services do nursing homes typically offer?

What services do nursing homes typically offer?

Basic Life Activity: The short answer is room and board. But not at all limited to that. They also provide assistance with toileting and bathing, social interaction with staff and other residents, assistance with taking medication, they should also offer physical, & occupational rehabilitation, and spiritual support. ...Read more

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Does hospice care offer full-time nursing care?

Does hospice care offer full-time nursing care?

Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read more

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How do a skilled nursing facilities make money?

How do a skilled nursing facilities make money?

Medicare Part A: The biggest factor in how skilled nursing facilities make money is the number of patients receiving rehab services under medicare part a. This level of service reimburses the most and nursing homes go to great lengths to try and have as many patients on rehab as possible. They also make money on patients who are custodial care (live there) however the margin of profit is small. ...Read more

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Should I hire a nurse to take care of mom in medicaid nursing home?

Should I hire a nurse to take care of mom in medicaid nursing home?

See below: You would need a permission from the director of nursing to allow a private nurse to care of your mom. You would have to pay privately on your behalf. ...Read more

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Who really runs things at nursing home? Rns, lpns or aides?

Who really runs things at nursing home? Rns, lpns or aides?

NHA: Nursing home administrator (nha) who are certified through nursing home administration program run by department of health and national association of boards of examiners of nursing home administrators (nab) most staffs are rns, lpns and midlevels. ...Read more

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Can first assists on a traveling surgeon's team bill insurance for their services?

Can first assists on a traveling surgeon's team bill insurance for their services?

Yes you can: When you assist on a surgery if it is qualified for assistance (some surgery are not qualified- minor surgery) you should be able to bill for it. ...Read more

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Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?

Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?

It depends: Palliative care can be provided in all these settings. If some symptoms are too severe, e.g., pain, it may be necessary to hospitalize the patient. ...Read more

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Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Elder : Elder abuse is a crime. All of us, physicians, nurses, social workers and other staff who work with older individuals and those who do not, are legally and ethically required to report suspected abuse to appropriate authorities. I have attached a link to elder abuse hotlines by state and also a link to a document describing signs of elder abuse. ...Read more

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Searching for health care coverage answers on pt and aide reimburesment for elderly person?

Searching for health care coverage answers on pt and aide reimburesment for elderly person?

Medicare?: Medicare will pay for physical therapy with a doctors prescription and a diagnosis requiring pt. Mc does not pay for unskilled home care services like home health aides. Medicaid does pay for hha and othe non skilled home care needs. ...Read more

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Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?

Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?

Informed decision: Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www.Medicare.Gov/quality-care-finder/#nursing-home-compare also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read more

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Are their social development programs for graduates from neonatal intensive care unit?

Are their social development programs for graduates from neonatal intensive care unit?

Development: Many nicus have developmental follow up clinics to evaluate progress and needs after going home from the nicu and the children are prescribed physical, occupational, and speech therapy as is warranted. The therapy occurs on developmentally appropriate levels which is often through play therapy. ...Read more

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Does Medicare (due to age) help pay for an in-home nurse/aide directly following a surgical oncology major operation?

Does Medicare (due to age) help pay for an in-home nurse/aide directly following a surgical oncology major operation?

For wounds and drain: Sometimes Medicare will have a nurse come to assist with wound care and drains. Sometimes you can also get a caregiver for about $20/hr. ...Read more

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