Eli's Rehab Report
Is A Hospice Patient Qualified for Therapy?
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Question: A resident was admitted to our skilled nursing facility for a respite stay under hospice (within a 30-day hospitalization), and the family wants her to receive skilled therapy for the admitting diagnosis of a s/p hip fracture under Medicare A. Can the resident receive skilled therapy services and be carried under hospice at the same time?’
Answer: Yes, says Kansas Department for Aging and Disability Services (KDADS). According to the Medicare Benefit A Policy Manual (Chapter 9, Section 20.3), “a beneficiary could be in a SNF under the SNF benefit for a condition unrelated to the terminal condition and simultaneously be receiving hospice for a terminal condition.”
Important: Also be sure to include condition code 07 on the UB04 to reiterate that the hospice service is unrelated to the reason for the Medicare Part A stay, notes Marilyn Mines, RN, BC, RAC-CT, senior manager of clinical services for FROST Healthcare in Deerfield, Ill.
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