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Skilled Care in a SNF is medically necessary if all of the following criteria are met. provided only on an inpatient basis in a SNF. particular medical needs, and accepted standards of medical practice. reasonable in terms of duration and quantity. for continued care in a Skilled Nursing facility(SNF) .
While âmedically necessaryâ might seem like a subjective term, it can be boiled down to a pretty simple definition. Under Medicare, a service that is âmedically necessaryâ is a service that Medicare pays for at this time for the particular diagnosis. The main terms to focus on are âat this timeâ and âdiagnosis.â Any procedure could eventually become medically necessary, for a given diagnosis, at some time in the future.