Skilled Nursing Facility (SNF)

If you are a Medicare beneficiary, Medicare can pay for up to 100 days of care in a Skilled Nursing Facility (SNF) such as a nursing home.  Usually, in order to qualify for Medicare coverage, you must have a qualifying hospital stay of 3 consecutive days or more (often referred to as the…

If you are a Medicare beneficiary, Medicare can pay for up to 100 days of care in a Skilled Nursing Facility (SNF) such as a nursing home.  Unless you are in a Medicare Advantage plan which allows otherwise, to qualify for Medicare coverage, among other criteria, you must have a qualifying…

Skilled Nursing Facility patient sued on a denial of Medicare coverage by his Medicare Advantage plan.  The District Court remanded for a hearing to determine whether outpatient services were, as a practical matter, available and feasible.  The burden of proof on "available and…