This is inaccurate.  The 24 hour rule applies to ability to bill (you
can't if they are not in the bed at midnight) and if the resident is out
of the building 24 hours or more, but expected to return, the MDS clock
for PPS purposes resets to a 5 day.  There are 18 therapeutic LOA days
per year for Medicare A recipients.  They need to have a therapeutic
purpose.

Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Wednesday, December 17, 2003 9:58 AM
To: [EMAIL PROTECTED]
Subject: Re: LOA and Med A

 My understanding is "no," as they must be in the facility at midnight.
They may be "on leave" from 1201 a.m. until 1159 p.m., but they must be
in the facility at midnight.
                                             Renie
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/----------------------------------------------------------
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
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