Final answer:
Medicare Part A covers the initial occupational therapy services for a 74-year-old female admitted to a SNF following a hospital stay due to a stroke, as long as she receives skilled therapy services at least 5 times per week for up to 100 days.
Step-by-step explanation:
The correct answer is option 1: Medicare Part A for 100 days, receiving any combination of skilled therapy services at least 5x/week. Medicare Part A covers inpatient care in a skilled nursing facility (SNF) for a limited time following a hospital stay for a condition such as a right cerebral vascular accident (CVA), commonly known as a stroke. The coverage includes occupational therapy services, as long as they are part of the patient's care plan for rehabilitation and are deemed skilled services. To be eligible for SNF coverage under Medicare Part A, the patient must have a qualifying hospital stay of at least three days and enter the SNF within a short time (typically within 30 days) of hospital discharge.
Under Medicare Part A, the first 20 days of SNF care are covered at 100%, and days 21-100 may require a daily co-payment. After 100 days, the beneficiary is responsible for all costs.
Even though there is mention of 100 skilled OT sessions in options 3 and 4, Medicare does not limit coverage by the number of sessions but rather by days of coverage and the necessary skilled services during those days. Therefore, Medicare Part B would not be the correct choice for initial coverage in this scenario, as Part B covers outpatient services.