Rehabilitation (Swing Bed) Care

Lost Rivers Medical Centers offers our Rehabilitation Care Program (also referred to as “Swing Bed”) as a short stay program, for patients who no longer need to be in an acute hospital setting, but are not ready to care for themselves at home or their next level of residence.  This program allows residents who have recently experienced and acute hospitalization or surgery to return to our comfortable facility for nursing and rehabilitation for an extended period of time.

What is Rehabilitation/Swing Bed?
Rehabilitation/Swing Bed is 24 hour skilled nursing care plus the benefit of “rehabilitation therapies to help patient transition to home or a long term care facility.  Swing beds can also be utilized to help rehabilitate from surgery, illness or accident.

Swing bed is like a bridge from the hospital before going home.  It gives the patient time to heal and adjust before returning to everyday life.  Our main purpose will be to provide you the necessary care through a collaborative team approach, facilitating therapist and skilled nursing to obtain the optimal outcome possible.

How do I Qualify for Rehabilitation/Skilled Swing Bed Under the Medicare Program?
A consecutive, 3-day, acute level care hospital stay immediately prior to rehabilitation/skilled swing bed care is required.

The patient must need some form of skilled nursing or skilled rehabilitation service which can only be provided in a skilled nursing facility.

Examples of rehabilitation/skilled swing bed care include:

  • IV Therapy
  • Sterile dressing changes
  • Skin/wound care
  • Physical Therapy

How do I pay for Swing Bed Care?
Medicare will cover skilled swing bed if:

  • You have Medicare Part A and have days left in your benefit period available to use.
  • You have a consecutive, 3-day, acute in-patient hospitalization immediately prior to skilled swing bed care.
  • Your doctor has determined that you need daily skilled care.  Care must be given by or under the direct supervision of skilled nursing or rehabilitation staff.

Medicare coverage is limited to 100 days of skilled swing bed care.  If you meet skilled criteria, Medicare will cover 100% of the first 20 days. You may be discharged before 20 days if daily skilled criteria ends.

If you require a stay past 20 days, co-insurance dollars or self payment will be assigned from day 21 to 100.

*Non-Medicare swing bed is also available.  Swing bed services covered by private insurances require prior authorization.

What do I do when my Rehabilitation/Skilled Care Need Ends?
When your skilled care need ends, Medicare coverage ends for the skilled swing bed stay.  Length of stay for non-Medicare/transitional care is determined by the individual’s private insurance plan.  If the patient does not feel ready to go home at that time, the patient has the following options:

  • A patient may choose to recover further at a nursing home.  OR
  • A patient may wish to return home with a family member or seek an alternative living arrangement (i.e., assisted living).

Have more questions? Call us, we would welcome the opportunity to visit with you.

Rehabilitation/Swing Bed Coordinator: Lyn Amos
Phone: (208) 252-7654 x 527
Fax: (208) 527-3616

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