If they are not at another skilled institution, i.e. a hospital or other nursing home, then you would simply not bill the days they were  not there and document the LOA, no discharge or restart to the Medicare schedule would be required. If they go out to the hospital and are admitted or are gone 24 hours, then they are discharged, the day not billed and the Medicare schedule restarted with a readmission. This was clarified in the 1999 Final Rule on LOA's and discharges. CKroll
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Monday, December 01, 2003 11:50 AM
To: [EMAIL PROTECTED]
Subject: therapeutic leave of absence/MEDICARE

Can someone pls tell me what to do when a Medicare person went out on pass/therapeutic bedhold and they were out for 3-4 days (went home for Thanksgiving). Theyre both on PT?OT. Do I have to discharge them right away? Thank you.

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