Medicare.gov - the Official U.S. Government Site for Medicare

Glossary

Term Definition
Skilled Care

A type of health care given when you need skilled nursing or rehabilitation staff to manage, observe, and evaluate your care. Nursing, physical therapy, occupational therapy, and speech therapy are considered skilled care by Medicare. In addition to providing direct care these professionals manage, observe, and evaluate your care. Any service that could be safely done by a non-medical person (or by yourself) without the supervision of a nurse is not considered skilled care.

Skilled Nursing Care

Care given or supervised by Registered Nurses. Nurses provide direct care;, manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that is part time and intermittent.

Skilled Nursing Facility

A nursing facility with the staff and equipment to give skilled nursing care and, in most cases, skilled rehabilitative services and other related health services.

Speech Therapy

This is the study of communication problems. Speech therapists assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, such as a stroke.

State Survey Agency

A State agency that oversees health care facilities that participate in the Medicare and/or Medicaid programs. The State Survey Agency inspects health care facilities and investigates complaints to ensure that health and safety standards are met.



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