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熟练护理设施如何通过医疗保险获得报销?采访者:凯瑟琳·D·绍姆。

How does a skilled nursing facility get reimbursed by Medicare? Interview by Kathleen D. Schaum.

机构信息

Kathleen D. Schaum & Associates, Inc, Lake Worth, Florida, USA.

出版信息

Adv Skin Wound Care. 2011 Sep;24(9):394-402. doi: 10.1097/01.ASW.0000405220.80415.81.

Abstract

Skilled nursing facility wound care nurses should do their part to thoroughly and accurately complete the MDS for each patient. They should remember to manage the wounds aggressively from day 1. They should also remember to consider the total cost of care rather than the cost of a dressing, drug, or piece of equipment. These wound care nurses should coordinate care with wound care physicians and HOPDs when patients require their services. Finally, SNF wound care nurses should take time to read and learn the surgical dressing and negative-pressure LCDs to ensure that they obtain the proper orders and that they follow the utilization and documentation guidelines required for Medicare Part B coverage of these products.

摘要

熟练护理机构的伤口护理护士应尽自己的一份力量,彻底、准确地为每位患者完成 MDS。他们应该记住从第一天开始积极地处理伤口。他们还应该记住考虑护理的总成本,而不仅仅是敷料、药物或设备的成本。当患者需要这些服务时,这些伤口护理护士应与伤口护理医生和 HOPD 协调护理。最后,SNF 伤口护理护士应该花时间阅读和学习手术敷料和负压 LCD,以确保他们获得正确的医嘱,并遵循 Medicare 第 B 部分覆盖这些产品所需的使用和记录指南。

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