Ask the Experts, News, Skilled Nursing Facility

Ask the expert: 100 day Medicare benefit

Q: If a stroke patient uses 100 Medicare days in a skilled nursing facility, and then after 60 days of wellness, incurs a new hospital stay for a kidney infection, could the patient qualify again for the 100 days of Medicare in a skilled nursing facility?

A:  After using the 100 Medicare Part A SNF benefit, and the patient no longer has any skilled services or needs and the 60 days of wellness, then the beneficiary has a new 100 day benefit available. If there were a new hospital stay for a UTI and the patient has the necessary 3-day qualifying stay, physician orders to admit to skilled bed for skilled care, meets the skilled criteria, then she could use the new 100 day benefit.