1. A Presentation

2. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population includes Specialize in rehabilitation Relieve pressure in acute care setting Ensure acute care treatment benefits are fully realized Reduce re-hospitalization

3. Reimbursement by Medicare and Medicaid It is based on the proper budget which includes the following: Rates Case Mix adjustment Geographic adjustment Annual updates Transition Effective date.

4. Restores patients to previous level of functioning A skill nursing home must have the ability to give the proper treatment and procure the patients so that they can restore to the previous level or health state and recover there self from the injuries or diseases. The skill nursing home can give treatment to the all people who are in need of it.

5. Recovering patient population includes Skill nursing home can give different type of services some of them are: a.Hip fracture: It is a break in the upper quarter of the femur (thigh) bon. b.Stroke: It is the loss of brain function due to a distribution in the blood supply to the brain. c.Pneumonia: it is lung infection which make you cough, run a fever and difficult to breath. d.Heart failure: it occurs when heart in usable to pump sufficiently to maintain the blood flow to meet the needs of the body.

6. Specialize in rehabilitation Rehabilitation id the process of helping an individual to achieve the highest level of function, independence and quality of life. So skill nursing home must be specialized with a doctors and physicians who can give the specialized rehabilitation to the patients.

7. Relieve pressure in acute care setting This can done by the six steps: 1.Conduct a pressure ulcer admission assessment for all patients 2.Reassess risk for all patients daily 3.Inspect skin of at-risk patients daily 4.Manage moisture 5.Optimize nutrition/hydration 6.Minimize pressure

8. Ensure acute care treatment benefits are fully realized The skill nursing home must give the proper treatment and ensure all of the steps regarding the acute care treatment so that the patients are easily satisfied and get well soon. With the help of specialized doctors the nursing home can give treatment in both Medicare and Medicaid programs.

9. Reduce re-hospitalization It means that to give the treatment upto the extent that a patients does not need again to be hospitalized. Proper treatment can make a reduction in re-hospitalization. If a patients get full healthy state then he avoid to go to hospital. Individual recover from injuries Patient can take over the diseases

10. References http://www.cms.gov/Medicare/Medicare-Fee- for-Service-Payment/SNFPPS/index.html http://www.hopkinsmedicine.org/healthlibrary /conditions/physical_medicine_and_rehabilitati on/overview_of_physical_medicine_and_rehabi litation_pmr_85,P01168/ http://www.ihi.org/resources/Pages/Improve mentStories/RelievethePressureandReduceHar m.aspx http://en.wikipedia.org/wiki/Heart_failure