Sub-acute/rehab floors - page 3

Can any of you tell me what staffing is like on your sub-acute units?... Read More

  1. by   mattsmom81
    Thanks guys for the clarification...one more question and I'll back off...LOL!

    Are these classifications important as far as billable services and reimbursement or just used to describe the patients?
  2. by   CapeCodMermaid
    To be on Medicare in a SNF, one must have had a 3 day qualifying hospital stay. In order to stay on Medicare, one must have a skill. There are all sorts of different levels of payment for Medicare patients depending on how much rehab they are getting and how much nursing care.
    So...the long answer is....if you have skills and are getting alot of rehab, then the facility will be reimbursed at a high level of payment....the fewer the skills and rehab needs, the less reimbursement.
    People on Medicaid also called Mass Health in Massachusetts get paid for by a different score.
    In my facility. all the beds are "skilled" which means we are certified by Medicare to provide care for 142 residents. However, not all 142 have Medicare. We have Medicare, Medicaid, private pay patients, and all sorts of different Managed Care patients. The business office classifies them. The rehab staff does to a certain extent. The nurses on the other hand, don't care who pays for what.
    Are you thouroughly confused now?
  3. by   mattsmom81
    [QUOTE=CapeCodMermaid]To be on Medicare in a SNF, one must have had a 3 day qualifying hospital stay. In order to stay on Medicare, one must have a skill. There are all sorts of different levels of payment for Medicare patients depending on how much rehab they are getting and how much nursing care.
    So...the long answer is....if you have skills and are getting alot of rehab, then the facility will be reimbursed at a high level of payment....the fewer the skills and rehab needs, the less reimbursement.
    People on Medicaid also called Mass Health in Massachusetts get paid for by a different score.
    In my facility. all the beds are "skilled" which means we are certified by Medicare to provide care for 142 residents. However, not all 142 have Medicare. We have Medicare, Medicaid, private pay patients, and all sorts of different Managed Care patients. The business office classifies them. The rehab staff does to a certain extent. The nurses on the other hand, don't care who pays for what.
    Are you thouroughly confused now?[/QUOTE]
    :flowersfo :chuckle

    Thanks for answering...I can grasp most of it. I imagine the different payor sources demand different charting, documentation and billing. There's a lot to all this in LTC...and I know the MDS process can make or break a facility if its not being done correctly.
    Last edit by mattsmom81 on Aug 4, '05

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