It is my understanding that if someone has the 3-night qualifing stay then they can be
brought in on medicare through the 5 day completion in order to assess the resident
and see if they meet the rest of the medicare skilled service criteria. Also if you
have a strong OT department, then they can pick up in order to design a functional
maintence program for the resident so there will be less chance of ADL decline as some
CNA's just do everything for the resident instead of making the resident do for
themselves. Wish my OT at current facility could understand this concept.
Davina DeMerritt, RN
>
> From: [EMAIL PROTECTED]
> Date: 2003/11/14 Fri PM 12:41:39 EST
> 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
>
>
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