I would but then I got burnt for not covering in a similar situation.
Family requested a demand bill and Medicare paid----for 30days no less!!
Just monitor documentation closely for MD visits/order changes, behavior
interventions etc.  I normally cut them pretty quickly unless there is
evidence of instability of condition. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Stacee Kunse
Sent: Monday, November 03, 2003 9:38 AM
To: [EMAIL PROTECTED]
Subject: acute psych hospitalization--medicare A

I have a resident who is coming back from an acute psych stay today, and
am wondering if he can receive medicare benefits.  He has had the 60 day
break in spell of illness.  Is here for dementia--unable to care for
himself at home.  Aggressive behaviors, hitting, grabbing, etc.  Was
admitted to psych to get his behaviors under control, and now is coming
back.  There is really no skilled service that we will be providing. 
Can we still skill him under presumption of coverage until the 5 day is
completed.  No IV's or anything that would have skilled him in
psych--other than med and behavior management.



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Stacee Kunse, RN
MDS Coordinator
Tuscola County Medical Care Facility
1285 Cleaver Road
Caro, MI  48723
Phone: (989)673-4117
Fax:   (989)673-6665
Email: [EMAIL PROTECTED]
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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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