Assignment D (Reimbursement Process And Procedure)

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Assignment D (Reimbursement Process and Procedure) Manor Care Boynton Beach is a skilled nursing and rehabilitation facility located at 3001 S Congress Ave Boynton Beach, FL 33426. The facility gets paid for its services by Medicare, Medicaid, HMO, and private payment. Medicare Part A helps pay for hospital stays, skilled nursing facility care, home health care and hospice care. Medicare Part B helps pay for doctor’s services and outpatient care as well as some other services such as physical therapist, occupational therapist, speech therapist, some home health care services, and supplies that are medically necessary. Medicare Part C is a Medicare’s managed care benefit called Medicare Advantage plan. Each plan offers different benefits and different rules than traditional Medicare. Medicare Part D is the Medicare prescription drug coverage program; however, the cost and coverage varies by plan. …show more content…

A patient can qualify for Medicare benefits under most circumstances if the person has been in the hospital for three consecutive days, not counting the day of discharge. The person is transferred to a nursing center for further care of the condition that was treated in the hospital or other conditions requiring skilled nursing or rehabilitative services. Futhermore, if a physician certifies the patient requires skilled or rehabilitative care after the hospital

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