The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

Reimbursement of Respiratory Care Services in Skilled Nursing Facilities

Gary A Gruver, Med, RRT, Monday, December 8, 1997.

This is a brief review of the regulations for reimbursement of a Skilled Nursing Facility (SNF) for respiratory therapy services provided to Medicare residents. Regulation 230.9 of the Medicare Skilled Nursing Facility Manual provides for the delivery of respiratory therapy services to a SNF through a transfer agreement with a hospital. It outlines the necessary components of this arrangement.

In Chapter 14 of the Medicare Provider Reimbursement Manual, the Medicare allowable costs are identified. They include the therapist salary equivalency guidelines, travel allowance, travel expense, supervisory time, and over time. These elements are combined to determine the monthly billing by the transfer hospital to the SNF.

There are advantages in having respiratory therapy services in a SNF. These advantages include financial, marketing, improved care of residents, completion of the "rehab" team, decrease in the rehospitalization of residents, and the ability to adequately care for residents with greater medical needs.

AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.

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