What is Medicare's daily reimbursement for SNF days 21-100?

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Prepare for the HCD Healthcare Payment and Delivery Models Exam. Utilize flashcards and multiple-choice questions, each complete with hints and detailed explanations, to ensure success.

Multiple Choice

What is Medicare's daily reimbursement for SNF days 21-100?

Explanation:
Medicare pays a fixed per-diem rate to a skilled nursing facility for days 21 through 100, while the patient covers a daily coinsurance amount. The per-diem reimbursement to the facility (the Medicare portion) in this scenario is $209.50 per day. That’s why this option is correct—the CMS-set daily rate for days 21–100 is $209.50. The other figures don’t match the established per-diem rate. Remember, days 1–20 are fully covered by Medicare with no patient coinsurance, and after day 100 Medicare stops paying.

Medicare pays a fixed per-diem rate to a skilled nursing facility for days 21 through 100, while the patient covers a daily coinsurance amount. The per-diem reimbursement to the facility (the Medicare portion) in this scenario is $209.50 per day. That’s why this option is correct—the CMS-set daily rate for days 21–100 is $209.50. The other figures don’t match the established per-diem rate. Remember, days 1–20 are fully covered by Medicare with no patient coinsurance, and after day 100 Medicare stops paying.

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