This question has been answered in a PDF file as I have included tables that I hope will provide a better “picture” than just words. What constitutes a SNF Medicare week

Question: In regards to billing for attended and unattended Modalities under Med A in SNF. Under the new regulations effective October 1, 2011, do we continue to bill attended and unattended modalities as non time sensitive services? Answer: Supervised modalities such as e-stim have skilled and non-skilled components as far as Part A is concerned. The time spent in determining the appropriate placement of the electrodes, application of the electrodes and determining of the appropriate intensity is skilled. Once the intensity of application is achieved, the time spent receiving the …
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Question:I was informed that we can treat beyond what was there prior lever of function, I work in skilled rehab, and they said this was part of the new rules. If the patient would benefit from going beyond PLOC. Is this true? Answer: Absolutely NO. There has been no changes in the regulations on that topic AND once the patient does not require the 5 day a week intensity of the SNF Part A they need to be discharged to a lower cost provider such as HHA or Part B. …
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Question: Under the SNF final rule how is the following situation handled? A therapist is supervising a student (not in line of site) while the therapist is seeing another patient. How are the Part A SNF minutes applied? Do both the therapist’s patients and student’s patients minutes count as 1:1 or because the student is an extension of the therapist, are the minutes counted as concurrent. I’ve read the final rule document and am still confused. What if we have the same scenario above except that the therapists and students …
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