Medicare Basic Training Part 2: Medical Appropriateness Exception and Administrative Presumption of Care On-Demand Workshop

Does the facility have a resident who is non-weight bearing on admission and will not need skilled therapy until the 30-day transfer rule has passed? Or perhaps there is a new admission coming in that the team is not quite sure will meet daily skilled clinical requirements. Can these cases be covered under Medicare Part A? During Medicare Basic Training Part 2: Medical Appropriateness Exception and Administrative Presumption, you will take a deeper dive into two frequently misunderstood exceptions to the Medicare program requirements: the Medicare appropriateness exception, which allows skilled Medicare coverage to begin more than 30 days after the qualifying hospital stay; and the administrative presumption of coverage, which is the only guaranteed Medicare Part A coverage available in the SNF. This session will also help you understand when and how these exceptions can be used.