Factors for HNF: Rehabilitative Therapy
{"Image DocumentName": "Factors for HNF: Rehabilitative Therapy", "Image ImageDescription": "FOR DUAL Members 1 \u2013 Cannot be receiving skilled Part A benefits concurrently. MCO responsible for 20% co-pay of Part A services for days \u2013 Cannot count Rehabilitative Therapy if eligible for those services through Medicare Part B services 3 - To count rehabilitative service\u2019s time, SNF will need to submit denial (COB) from Medicare for payment for the applicable Part A and Part B services: a \u2013 if Medicare denial is for not a covered benefit (length or amount over benefit limit), MCO can review for medical necessity b \u2013 if Medicare denial is for lack of medical necessity , then MCO will deny also.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}