[Answered]: After the first recertification, where does…

After the first recertification, where does counting begin to determine the next physician’s recertification date? No counting is required. The next recertification is due on or before the 44th day. The signature date of the first recertification and continuing no later than 30 days. The admission date and continuing every 30 days thereafter. The next recertification can be signed at any time and backdated if necessary. 12. A resident was admitted to the skilled nursing facility after a 3-day qualifying hospital stay with a planned six-week delay in skilled therapy. What is required for this stay to qualify for the medical appropriateness exception? The delay in therapy must be identified on discharge from the hospital. The need for the delay must be documented by the director of nursing on admission to the SNF. The decision for medical appropriateness can be made any time after admission to the SNF. Therapy services must start within 60 days of admission to the SNF. 13. When a resident no longer meets skilled level of care criteria for Medicare Part A, has benefit days left in his or her benefit period, and will be staying in the SNF under a different pay source, which beneficiary notice(s) should be issued? One notice is required: the Notice of Medicare Non-Coverage (NOMNC) (CMS 10123). No notices are required. One notice is required: the SNF ABN (CMS 10055) 2024 Two notices are required: the NOMNC (CMS 10123) and the SNF ABN (CMS 10055) 2024. 14. When a resident is admitted with Medicare Part A as primary payer, which of the following components is mandated by regulations? Physician certification for extended care services Notice of exclusion from Medicare benefits A copy of the hospital discharge summary Explanation of benefits from Medicare for the hospital stay 15. Which of the following is true when providing a skilled rehabilitation maintenance program under Medicare Part A? It is covered when the beneficiary needs the skills of a therapist to complete the maintenance program on a daily basis. Coverage for a maintenance program depends entirely on an individual’s potential for improvement from the services. Coverage of a maintenance program is not allowed under Part A coverage. Coverage for a maintenance program depends on the beneficiary’s secondary pay source.