You can skill him on the insulin with physician's orders and visits until he is stable on the insulin, since this a new med for the patient. In my facilities, we try to skill them under Medicare as long as necessary THEN let Hospice pick them up. This is if the patient and family want this approach taken. The patient is entitled to his Medicare benefits as long as he has had his 3 day qualifying stay in the hospital.
Software issue: If you are setting the ARD for before therapy evaluated the patient, but you already have therapy orders, you should be able to enter "1" for therapies ordered and "0" for the number of days and minutes in section T. If not, you need to discuss with your software vendor and have them correct the program. You are leaving a lot of money on the table for your facility. Marigene Heller Regional NAC Cypress Health Care Management -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, November 18, 2003 8:02 AM To: [EMAIL PROTECTED] Subject: Re: Use of grace days/back to basics So is sec t optional? Once you answer the question ordered therapies or does the order have to state start within the next 14 days? My old software would not allow me to estimate if I didn't have the 65 mins, current software gives error message and requires estimated mins entered. My current therapy contract pay the therapist just 9$ day for any skilled resident that is in a medical rug, so I would prefer to get my se3 from the hospital info but end up using grace days to capture a therapy rug due to the software requiring estimating. also had a new one this week: res returned from hospital with new dx of cancer with mets and poor prognosis, he was also started on insulin, new med and had orders for snf level of care, I was going to do the 5 days and d/c but therapy eval and I got a couple of different stories that they were going to pick up but when questioned by the corp nurse consultant they stated they didn't know why they were seeing him, per her report. Hospice screened and report I got back was they would pick him up when his skilled stay was over. (never heard of that before) I know I have read on the list server that people were skilling people even tho terminal if they would benefit from it so when therapy stated they would pick him up was not too suprised and they even discussed setting the 14 day ard, so sounded like they were going to be providing ongoing therapy. Not sure what the question here is but I feel better..... Robert W Darr RNAC RAC-C Sunny View Care Center 410 NW Ash DR. Ankeny,IA 50021 Office: (515)964-1101 Fax: (515)965-1935 Home: (515) 462-9138 [EMAIL PROTECTED] [EMAIL PROTECTED] Ã8 Â2,ÅÃÂÃÅjÂËiÃzÃÂ'ÂÃx Â'Å ÂÃÂ*ÂÃÂÃÂÃÂgÂ*ÂÃjÃÂ*Å+yÃÂÂÃÂgÂÃ}ÃÅââÂÂÂÃÅÃx,nÃx ÂÂyÂÃÃÂÅÂÂzÃÂ{ÂÃvÃ#ÃÃtPÂZÅÅÅwÂ+ÂÃÂÂÃà/---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
