Quiz: Long Term Care Rules and Regulations All SNF Therapy Professionals Need To Know

All SNF Rules and Regulations are divided into 2 main categories and will fall into 1 category. These categories are:

If Medicare rules state that an assistant does NOT need onsite supervision when providing therapy but the State Practice Act where you live requires a therapist to be onsite when an assistant is treating, which rule do you follow when treating a Medicare resident?

The name of the Manual that contains all rules and regulations pertaining to the care of a resident in a SNF is called:

What rule / regulation is the master of all rules governing long term care?

Survey  F-Tag 675: Quality of Life states: “Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable physical, mental, and psycho-social well-being, in accordance with the comprehensive assessment and plan of care.”

This statement implies that the facility interdisciplinary team, including therapy professionals, have a responsibility to make recommendations for each resident as needed to maintain highest level of function. These recommendations can include a skilled or a non-skilled maintenance program (ie: program completed by therapy and/or recommendations carried out by non-therapy professionals including caregivers, family, etc).

OBRA 87 created the MDS (Minimum Data Set) as a means to help SNF’s determine how to evaluate residents and then set up an appropriate plan of care to keep residents at their highest level of function. The MDS had nothing to do with reimbursement when first created.

Which of the following are types of Medicare coverage?

Medicare Part B pays 100% of all therapy costs in the SNF.

Some examples of Medicare Part C payers in the SNF are: (Check all that apply)

The Medicare Benefit Policy Manuals contain all Medicare regulation. In what Chapter can the rules for Part A in the SNF be found?

The Medicare Benefit Policy Manuals contain all Medicare regulation. In what Chapter can the rules for Part B in the SNF be found?

The following statements are true:

• Medicare only pays for “skilled care,” regardless of Medicare type – Medicare Part A and Medicare Part B
• All payment is based on providing SKILLED SERVICES…or services that require the SKILL of the NURSE or THERAPIST and cannot be provided by non-skilled professionals