Harmony Healthcare Blog

ICYMI: Leave of Absence

Posted by Kris Mastrangelo on Tue, Nov 06, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

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Topics: Leave of Absence

Leave of Absence

Posted by Kris Mastrangelo on Thu, Oct 25, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

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Topics: Leave of Absence

Therapeutic Pass, LOA and Midnight Rule

Posted by Kris Mastrangelo on Thu, Dec 07, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


This is the time when friends and family are asking patients and residents to take a trip out of the facility to enjoy some holiday cheer. There are a few comments I must share with you around this scenario. 

  1. Practical Matter Criterion
    If the patient is on Medicare Part A, do not interpret the regulation so strictly that the patient is denied an outing or leave because you are worried about Medicare payment.  “As a practical matter, considering economy and efficiency the services can only be provided in a SNF.” Remember that if the patient leaves and returns within the 30-day window, access to Medicare benefits exists.  (30-day rule.)
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Topics: Leave of Absence, Midnight Rule

Medicare Leave of Absence: Home for the Holidays

Posted by Kris Mastrangelo on Thu, Dec 08, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


With the upcoming holidays comes increased confusion related to the Medicare beneficiary’s ability to enjoy a temporary visit home to participate in holiday celebrations with his or her loved ones.  While many Medicare beneficiaries are too acutely ill to leave the facility even for a brief home visit, there are no regulations preventing Medicare beneficiaries who are physically able, from enjoying a temporary home visit to participate in the holiday festivities. 

According to the Medicare Benefit Policy Manual, “An outside pass or short leave of absence for the purpose of attending a special religious service, holiday meal, family occasion, going on a car ride, or a trial home visit, is not, by itself evidence that the individual no longer needs to be in a SNF for the receipt of required skilled care.”

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Topics: Documentation, PPS, ARD, Leave of Absence

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