Module 4: Policy Assignment Questions On Skilled Nursing Care

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MODULE 4, Policy Assignment
Please answer the following questions:
1. Based on your research, will this patient be authorized for Medicare covered skilled nursing care services? Why or why not?
a) Yes
b) Medicare Part A (Hospital Insurance) covers skilled nursing care provided in a skilled nursing facility (SNF) under certain conditions for a limited time. For example if, your doctor has decided that you need daily skilled care given by, or under the direct supervision of, skilled nursing or therapy staff. ("Skilled nursing facility (SNF) care | Medicare.gov," n.d.)
2. What determines observation versus inpatient admission?
You’re an outpatient/observation if you’re receiving emergency care, or any other care your physician has not ordered.

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