ALF
Home
- No 24 hour supervision
- Home: able to perform ADLs/IADLs or someone can help
- if patient has dementia and need monitoring
- memory clinic, usually ALF
ILF
- Independent living facility (ILF)
- like an apartment, someone can pass out meds, maybe 1 PT for whole facility
- $3000-$5000 a month
- sometimes Medicaid can cover. Medicaid does not cover dementia
- Medicare does not cover
ALF
- Assisted living facility (ALF)
- 1 person assist only
- Print for EPIC
LTC
- Long term care (LTC)
- often same building as SNF
- nursing home
- 2 person assist
- require more ADL's than ALF
- not covered by insurance
- $7000-$9000 per month out of pocket
- Medicaid can cover
- shares room with another
- don't need to qualify because paying out of pocket
- FL2: needs assessment
SNF
- Skilled nursing facility (SNF)
- more acute rehab side
- must have skilled needs: PT, wound care needs, nursing
- FL2 paperwork for insurance/facility
- 1-3 hours of therapy/day
- Medicare covers 100% of 1st 20 days, then 80% after with deductible for 3 months, resets after 60 days
- Can manage with wound care, IV abx, uncontrolled DM, check labs
- Document only for EPIC
IPR
- Inpatient rehab (IPR)
- need to be able to go back home
- need to be insured
- minimum 3 hours therapy/day (1 hour PT/OT/ST or mixed)
LTAC
- Long term acute care (LTAC)
- stable sick patients
- intubated/trached
Hospice
-
Hospice
- Medicare A covers
- either home or inpatient
- inpatient: IV pain meds, comfort care, days to live
- can go to long term care with hospice following
-
SNF then hospice
- Medicare covers only rehab part of SNF, then $200-300 /day for hospice room and board
- Medicare A: hospital stay and SNF, DME
- Medicare B: outpatient visits, PT
HH
- Home health
- Medicare Part A or Part B
- outpatient: Part B
- from hospital: Part A
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