[Solved]: Which of the following would be a qualifying…

Which of the following would be a qualifying hospital stay for a resident to begin a SNF benefit period? Three nights in a foreign hospital that qualifies as an “emergency hospital” Three midnights in a certified hospital, regardless of whether the resident was admitted as an inpatient or spent the time as an outpatient or in observation status There is no requirement for a qualifying hospital stay for Original Medicare Part A. An individual may be admitted directly from home. One midnight as an outpatient in an emergency department and two midnights as an inpatient in a Medicare-certified hospital 27. If the need for skilled services is not certified by a physician or other authorized healthcare provider per regulations, what will happen? The facility can appeal to the Quality Innovation Network-Quality Improvement Organization (QIN-QIO). The MAC may pay any claim submitted for services. The services are not coverable under Medicare Part A. An affidavit from the resident can be substituted. 28. A Medicare Part A beneficiary exhausts his Medicare benefit on July 15 and transitions to long-term care. On October 9 he suffers an acute episode, transitions to the hospital where he is admitted, and a discharge return anticipated assessment is completed. After a 10-day stay as an inpatient in the hospital, he returns to the nursing facility to continue his recovery from complications of renal failure. He is receiving five days of physical therapy for a decline in ambulation and continues Medicare coverage for 12 days. Which assessment is required to be completed upon return to the facility? Admission assessment Medicare 5-Day assessment Significant Change in Status Assessment A Quarterly assessment 29. If a resident on a Medicare Part A stay leaves the facility for an overnight stay to attend a family wedding on October 22, which of the following is true? If the resident is well enough to attend a wedding, a denial letter should be issued as of that day. The facility should bill for the day the resident was out; the day is counted against the 100-day benefit count and PPS MDS schedule is not adjusted. The facility should not bill for October 22 because the resident was not in the facility at midnight. The facility should bill for October 22, deduct one day from her 100-day benefit period, and her PPS MDS schedule should be unchanged. 30. When the facility has determined that a resident no longer meets the criteria for skilled Medicare Part A coverage, the resident has Medicare Part A days available in his or her current benefit period, and the resident is being discharged home, what notice(s) should be delivered? A SNF Advance Beneficiary Notice (ABN) is not required because her benefits are not exhausted. A Notice of Medicare Non-Coverage (NOMNC) is required to be given no less than two days before the last day