Are you covering her for Skilled Nursing Observation to ensure that the thing that sent her to the hospital was resloved? If so. I'd feel comfortable skilling her for a BRIEF amt of time. Also. the documentation must support it. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Brenda Chance Sent: Friday, November 14, 2003 2:18 PM To: [EMAIL PROTECTED] Subject: RE: skilled determination question
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
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