tci ED Coding & Reimbursement Alert - 2018 Issue 4

Reader Question: Know How to Answer the SNF Question

Question: We saw a patient for 24 hours in the emergency department and two days in observation. She was convinced this qualified her for skilled nursing facility (SNF) admission and complained to us when we would not "write her a referral" for the SNF. What can we say to patients about situations like this in the future? Supercoder.com Subscriber Answer: The patient appears to be operating on the believe that SNF coverage is applicable to beneficiaries who are inpatients for at least three consecutive days. The patient is correct about Medicare's coverage of SNF admissions, but this patient...

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