A case of post Skilled Nursing Facility (SNF) rehospitalization prevention using CMEC
transitional care protocol in a non-compliant patient. This patient underwent right
lower extremity major joint replacement and was participating in BPCI Model 3 program
with 90-day episode risk sharing. The SNF assumes risk for all services provided within
the episode. This includes services provided directly by the SNF and those delivered
by other providers including any Part A and Part B services i.e. physician services,
DME, services provided by another PAC provider and related acute readmissions.
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© 2017 Published by Elsevier Inc.
