IV / IM INJECTION
IV FEEDING/TPN
COMPLEXITY OF CARE
WHY NOT HOME?
MEDICARE GUIDELINES
100

At least twice daily. 

What skills the patient for IV administration (SNF)?

100

Patient and caregiver cannot/unwilling to be trained.

What skills the patient for TPN/IV feedings?

100

PT/OT 5 days per week

What are services provided by a licensed professional?
100

No ramp or rails, two flights of stairs.

What are environmental barriers?
200

Needs frequent and off hour lab draws

What qualifies a patient for IV skilled services?

200
Assessment of intake/output, weight.

What is the need for an assessment by a licensed professional?

200

Signs and symptoms such as abnormal/fluctuating vital signs, symptoms of drug toxicity, and/or fluctuating lab values. 

What requires a licensed clinician for skilled observation and assessment?

200

Caregiver unable to assist with ADLs/medications.

What is an unsafe discharge plan?

500
Skilled nursing/rehab

Daily

Inpatient

Reasonable and necessary


What are the qualifiers for SNF admission?


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