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Financial Breakdown
Coverage Details
This service is covered under your insurance plan. No deductible was applied to this claim.
Cost Breakdown
Coverage Insights
- Home health skilled nursing services covered at 100%
- No deductible or coinsurance applied for this service
💡 These insights are derived from Medicare's adjudication data to help explain your coverage details.
AI Summary
Home health skilled nursing visit. 100% covered by Part A benefit. Medicare generally covers home health care in full when the patient is homebound and requires skilled care.
Risk Flags
Insights
- •Ensure the home health agency is providing the care as outlined in your plan.
- •Review any "Home Health Advance Beneficiary Notice" (HHABN) provided before services if coverage is uncertain.
- •{"title":"Medicare Home Health Services Coverage","url":"https://www.medicare.gov/coverage/home-health-services"}
Heart failure, unspecified
Heart failure, unspecified. A chronic condition where the heart doesn't pump blood as well as it should. Home health care helps manage symptoms and prevent readmission.
Present on admission: No
Direct skilled nursing services
Direct skilled nursing services
Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting.
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