Term
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Definition
1. What to do
2. How to do it
3. What to observe for when problems develop |
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Term
| Types of Medicare health facilities |
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Definition
1. Acute care hospitals
2. Exempt hospitals (inpatient rehabilitation hospitals and long term acute care hospitals)
3. Nursing facilities (skilled nursing facilities and extended care facilites) |
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Term
| Inpatient rehabilitation Facilities (IRF) |
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Definition
Needs multidisciplinary therapy(PT,OT,Speech, Orthotic or prosthetic services and be able to participate in intensive treatment
Must be able to participate in therapy at least "3 hours per day" |
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Term
| Long Term Care Acute Hospital (LTCH) |
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Definition
Must maintain an average length of stay of "25 days or more"
Patients must require "Daily monitoring" and "complex medical intervention" |
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Term
| Skilled Nursing Facility (SNF) |
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Definition
Qualifying event includes a "three night hospital stay"
Must require skilled nursing of rehab for a least " one hour daily five days a week"
Medicare SNF benefits last "100 days" without a new qualifying event.
Paid in full for "20 days"
A "copayment" required for "days 21-100" |
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Term
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Definition
A.K.A. Long term care facilities
Provide long term custodial care. Some reimbursed through Medicaid and Medicare
Some provide a mix of services (ex: access to skilled nursing care)
Different names: Residental care facility/Assisted living. Continuing care retirement community(CCRC). Adult congregate living facility (ACLF) |
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Term
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Definition
Highly variable
Provides care at home to patients who would otherwise be institutionalized.
Can include:private duty nursing services, hospice, infusion services, physician home visit programs |
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