They are automatically covered through the ARD of the 5-day assessment only "if they are in one of the top 26 RUGS categories".
Sally

[EMAIL PROTECTED] wrote:
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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