Does anyone routinely skill a resident with MD visits and order changes? This seems kind of unpredictable isn't it? How does one plan on this , if this is how you are skilling someone? Or would this be for the 5day , and you already have this information?
"Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]> wrote:
"Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]> wrote:
I missed the first part of this question. Is the resident in question receiving daily insulin injections? Otherwise, 1 visit and 2 order changes will not qualify for clinically complex. There have to be 1 visist and 4 order changes or 2 of each.Holly----- Original Message -----From: [EMAIL PROTECTED]Sent: Monday, November 17, 2003 7:17 PMSubject: Re: skilled determination questionIn a message dated 11/17/2003 11:11:16 AM Eastern Standard Time, [EMAIL PROTECTED] writes:Even if you are observing for continued problems, etc., there has to be a reason to skill, usually within the top 26 rugs.
One physician visit and two order changes should get you a CB1; and that is in the upper 26 RUGS Levels.Glenn Gorleski (Barnes) RAC-C
Case Manager, MDS Coordinator
Quality Assurance Nurse
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