WHEN DOES A BENEFICIARY QUALIFY FOR DAILY SKILLED NURSE VISITS (SEVEN DAYS A WEEK)?
When the physician orders daily skilled nursing services for more than three weeks, the home health agency must document the medical necessity of the additional services. An endpoint statement is required: must be reasonable for the medical condition, and must identify a predictable and finite period of time daily skilled nursing visits will be needed Only exception is the coverage of daily skilled nursing visits to administer insulin injection to a homebound beneficiary who is physically or mentally incapable of self-injection and who has no willing or able caregiver available.
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