News Report | July 21, 2019
20% Of Medicare Emergency Department Claims For SNF Residents Indicate Potential Abuse Or Neglect
About 20% of high-risk hospital emergency department Medicare claims for services provided in 2016 to beneficiaries residing in a skilled nursing facility (SNF) indicated potential abuse or neglect. SNFs reported an estimated 16% of the incidents of potential abuse or neglect that led to a hospital emergency department visit.
During calendar year 2016, there were 37,607 high-risk hospital emergency department claims for services provided to 34,820 of the approximately 1.9 million Medicare beneficiaries who were SNF residents. Charges for these claims totaled $163 million. These high risk claims contained at least one of 580 diagnosis . . .