Re: MEDICARE DOCUMENTATION NOTES..Help

[RRS2000]

For Medicare Part A reimbursement, there is no regulation that requires specific charting from specific disciplines.  The purpose of documentation for Part A is to demonstrate that the resident received medically necessary daily skilled services that the facility is billing for.  The facility can determine for itself how it will demonstrate that.

As a standard of clinical practice, it is also necessary to document the resident's response to care and services.

Rena

Original Message -----
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Sent: Friday, October 31, 2003 10:22 AM
Subject: MEDICARE DOCUMENTATION NOTES..Help


Is there a requirement that there should be a Medicare note on every resident covered? Dietary, Recreation, Rehab and Social Work does their notes for initial, 14 day, 30 day, 60 day and 90 day schedule.  What is Nursing's responsibility with regards to nurses note? Thank you.

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators (AANAC)
"Setting the standard for SNF MDS/PPS education"
President, RRS Healthcare Consulting Services
17210 Russet Street
San Diego, CA 92127
858-592-6799
858-592-6800 (fax)
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[EMAIL PROTECTED]
www.AANAC.org