A client in the skilled nursing facility refuses rehabilitation services 5 out of 7 days. An administrator tells the client that they will be transferred to the intermediate care unit
The client states, "Medicare is paying my bill; you can't transfer me." Which of the following is the best response by the nurse administrator?
A) "You are making good progress it's time to move to the intermediate care unit."
B) "We don't accept Medicare clients in the skilled unit."
C) "Oh, I wasn't aware; you will be staying here."
D) "Medicare will only pay as long as you continue to make progress toward your goals."
Ans: D
Medicare and other insurance programs will cover all or part of the care for up to 100 days of care, but only as long as the person continues to require the skilled level of services. The expectation is that the person will be able to progress to a higher level of functioning and show some recovery from the acute episode.
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