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Tag Archive 'Medicare'

Revisions to Medicare Manual pursuant to the Jimmo vs. Sebelius Settlement, will be made to clarify that improvement is not required to obtain Medicare coverage for maintenance claims that require skilled care. Medicare has long recognized that even in situations where no improvement is possible, skilled care may nevertheless be needed for maintenance purposes (i.e., […]

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Medicare Eligibility in a Skilled Nursing Facility: (All five criteria must be met.) Must be a hospital inpatient for three or more consecutive days, NOT including the day of discharge. A physician must indicate skilled care is needed on a daily basis. Care in the skilled nursing facility is due to a condition that was […]

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