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The Nursing Facility Care For Medicaid And Medicaid System Administrators Essay

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1. Is the profitability or loss of the typical nursing facility in the hands of Medicare and Medicaid system administrators?
No, there’s no profitability or loss of the typical nursing facility in the hands of medicare and medicaid system administrators because medicare helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services.Despite the common misconception that nursing homes are covered by Medicare, the truth is that it covers only a limited amount of inpatient skilled nursing care. The nursing facility care and services covered by Medicare are similar to what is covered for hospital care. Residents who have Part A medicare usually pay a deductible and coinsurance for Part A and Part B services. Many nursing homes assume in error that if a patient has stopped making progress towards recovery then Medicare coverage should end. In fact, if the patient needs continued skilled care simply to maintain his or her status then the care should be provided and is covered by Medicare.In fact, patients often receive an array of treatments that don 't need to be carried out by a skilled nurse but that may, in combination, require skilled supervision.Even in cases where the SNF initially treats the patient as a Medicare recipient, after two or more weeks, often, the SNF will determine that the patient no longer needs a skilled level of care and will
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