RE: skilled determination question

[Brenda Chance]

The question is what are you skilling them for?  She is living in the old Medicare days when anyone that came back from the hospital with a qualifying stay was covered.  Not so any more.  There has to be a need for skilling nursing if therapy is not done.  I would suggest that she carefully read the current Medicare A qualifications.      Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, November 14, 2003 12:42 PM To: [EMAIL PROTECTED] Subject: skilled determination question   Hi     I have a biller that states even if when a resident is admitted from a hosp and meets the criteria of 3 midnight stays,  has zero IV's, zero therapies only generalized serives that  we must pick them up for at least five days. Is this true ? She thinks this because she said the OIG thinks this way? There rug scores are low.     thanks     nancy