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Certifying the medical necessity for skilled nursing and skilled therapy services / Donna J. Senft

By: Series: Geriatric Nursing. 37 : 2, page 147-149 Publication details: March/April 2016.Content type:
  • txt
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): Summary: Similar to payment for services provided in other settings, the Medicare payment rules require a proper certification and subsequent recertification of the medical necessity for inpatient or Medicare Part A skilled nursing facility ("SNF") services. It is the SNF's responsibility to ensure that the certifications and recertifications are obtained timely and maintained in the patient recorda; however, the physicians and nurse practitioners caring for the residents are responsible for making the medical determinations that services are needed.
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Similar to payment for services provided in other settings, the Medicare payment rules require a proper certification and subsequent recertification of the medical necessity for inpatient or Medicare Part A skilled nursing facility ("SNF") services. It is the SNF's responsibility to ensure that the certifications and recertifications are obtained timely and maintained in the patient recorda; however, the physicians and nurse practitioners caring for the residents are responsible for making the medical determinations that services are needed.

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