Meet Hilda SmithHilda Smith, who had osteoporosis, sustained a hip fracture because of a fall in her home.
Learn more about Hilda’s situation.
After 5 nights in an acute care hospital, she is admitted to an SNF where she spends 16 days for
rehabilitation, nursing care, and assistance with activities of daily living. The resident is then discharged
to her own home where a physical therapist from a home health agency comes in to train her to use a
walker and build strength.
After being at home for 25 days, Hilda develops deep venous thrombosis (blood clot in a vein) in her
thigh (related to her fall) and is admitted to the hospital, from where she is transferred to the same SNF
after spending 2 nights in the hospital.
Conclusion
Download the Case Study: Finance and Reimbursement Template [DOCX] and answer the following
questions. Write your answers in well-developed sentences or short paragraphs, using your own words.
When you use information from a source, be sure to cite it. For help with citations, check out the Strayer
Library.
As the case manager, how would you respond to the following questions?
1. Assuming that Hilda meets Medicare criteria for the services described here, how many days of
SNF care is she entitled to during her most recent stay (assume that she qualifies for the full 100
days)?
2. How much in deductibles and copayments does Hilda have to pay? (For 2021, the Part A
deductible was $1,484 and the daily copayment for SNF was $185.50.)
Case Study #2: Finance and Reimbursement
Objective:
Answer the following questions in well-developed sentences or short paragraphs.
As the case manager, how would you respond to the following questions?
Question 1: Assuming that Hilda meets Medicare criteria for the services described here, how many days
of SNF care is she entitled to during her most recent stay (assume that she qualifies for the full 100
days)?
Question 2:
How much in deductibles and copayments does Hilda have to pay? (For 2021, the Part A deductible was
$1,484 and the daily copayment for SNF was $185.50.)
BackNext
Meet Hilda Smith
Hilda Smith, who had osteoporosis, sustained a hip fracture because of a fall in her home.
Learn more about Hilda’s situation.
After 5 nights in an acute care hospital, she is admitted to an SNF where she spends 16 days for
rehabilitation, nursing care, and assistance with activities of daily living. The resident is then discharged
to her own home where a physical therapist from a home health agency comes in to train her to use a
walker and build strength.
After being at home for 25 days, Hilda develops deep venous thrombosis (blood clot in a vein) in her
thigh (related to her fall) and is admitted to the hospital, from where she is transferred to the same SNF
after spending 2 nights in the hospital.
Conclusion
Download the Case Study: Finance and Reimbursement Template [DOCX] and answer the following
questions. Write your answers in well-developed sentences or short paragraphs, using your own words.
When you use information from a source, be sure to cite it. For help with citations, check out the Strayer
Library.
As the case manager, how would you respond to the following questions?
1. Assuming that Hilda meets Medicare criteria for the services described here, how many days of
SNF care is she entitled to during her most recent stay (assume that she qualifies for the full 100
days)?
2. How much in deductibles and copayments does Hilda have to pay? (For 2021, the Part A
deductible was $1,484 and the daily copayment for SNF was $185.50.)
Case Study #2: Finance and Reimbursement
Objective:
Answer the following questions in well-developed sentences or short paragraphs.
As the case manager, how would you respond to the following questions?
Question 1: Assuming that Hilda meets Medicare criteria for the services described here, how many days
of SNF care is she entitled to during her most recent stay (assume that she qualifies for the full 100
days)?
Question 2:
How much in deductibles and copayments does Hilda have to pay? (For 2021, the Part A deductible was
$1,484 and the daily copayment for SNF was $185.50.)
BackNext
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