Reference no: EM133867123

Question

Mrs. Connors had a 3-day qualifying hospital stay for a knee replacement. She is in a hospital with swing beds. She was an inpatient in the hospital for two weeks, and then while remaining in the same bed, she spent 20 days as a resident of a SNF in a hospital swing bed. She is then admitted to Happy Valley SNF from the hospital swing bed. Which of the following is true related to the administrative level of care presumption? Administrative presumption of coverage applies only if admitted directly to the SNF from the SNF level of care in the swing bed. Administrative presumption of coverage does not apply when admitted to the SNF from a swing bed. As long as the payment classification is in one of the intensive PDPM qualifiers on the 5-Day PPS assessment, the stay is deemed covered under the presumption of coverage when directly admitted from a swing bed. The stay is covered under presumption of coverage as long as Mrs. Connors begins her SNF stay within 30 days of discharge from the hospital swing bed.