[Verified Answer]: What is considered a direct skilled…

What is considered a direct skilled nursing service? Any time a noncomplex service is performed daily by or under the direct supervision of a nurse Daily assessment and treatment of two Stage 1 pressure ulcers Daily application of dressings involving prescription medications and aseptic techniques Daily changes of dressings for uninfected postoperative or chronic conditions 22. Josephine Harkins, 75, was admitted to Shady Acres skilled nursing facility on October 28, following a CVA. She received Medicare Part A coverage for rehab for left-sided hemiplegia until December 2, using 35 days of her 100-day benefit period. Last week, on January 6, she fell while walking across a street with her daughter and sustained a left hip fracture. She was admitted as an inpatient to the hospital and underwent an open reduction and internal fixation (ORIF) on January 7 and developed a postoperative UTI and pneumonia. The UTI is resolved. She is being readmitted to Shady Acres tomorrow, January 21. How many days of Medicare would Josephine have available with the January 21 readmission? 0 days 35 days 65 days 100 days 23. A long-term care resident with chronic renal failure and brittle insulin dependent diabetes mellitus returns from a 12-day hospital stay. Upon readmission the assessment nurse determined that the resident has a decline in activities of daily living and his blood sugars are unstable. It has been 45 days since he exhausted his Medicare benefit. Is he eligible for Medicare coverage and why? Yes, because he requires skilled care No, because he did not have a new diagnosis No, because he did not have a 60-day break in skilled care Yes, because it has been more than 30 days since he exhausted benefits 24. As a part of the additional documentation request (ADR) response, the facility staff should include which of the following? Only the information requested by the MAC because the MAC has identified what is missing Information requested in the ADR, plus information from earlier billing periods to remind the reviewer of the history of the case Information requested in the ADR plus any additional information that will support payment for services during the billing period in question Information from all Medicare stays for this resident at the facility 25. A long-term resident transitioned to Medicaid on December 1, after exhausting her 100 days of Medicare Part A benefit for a skilled stay receiving 100% caloric intake via a feeding tube. The resident remained in a Medicare-certified bed in the facility and continued the feeding tube to meet all caloric needs after Medicare coverage ended. On March 1, the resident had a three-day stay in the hospital with sepsis, pneumonia, and multiple Stage 3 pressure ulcers. Is the resident eligible for Medicare Part A coverage? Yes, the resident is elig