I would skill him for 1-2 weeks (depending on how well he does) for nursing observation s/p acute psych hospitalization, to ensure that his behaviors are truly under control. I assume that his meds were changed somewhat while in hospital, and needs to be monitored for effectiveness & developement of side effects. Documentation needs to focus on behavior, nutrition & hydration, any weight/appetite changes, any further med changes, visists by psych MDs, etc... If he is truly stable after 1 week and has had no further med changes I'd take him off of Medicare, but if not I'd continue to monitior.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 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. This e-mail and any attachments are confidential information intended for the sole use of the addressee listed. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Management Information Systems Coordinator at (989)673-4117, and delete the e-mail. Unauthorized use, dissemination, distribution or copying of this e-mail or attachments, in whole or in part, is strictly prohibited and may be unlawful. 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] /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
