Were there any medication changes? Does the resident continue to have chest pain? Are you monitoring for chest pain? What ICD-9 Code did the hospital use to bill?
 
Resident was sent to the hospital due to complain of chest pain, was given a Dx of unstable angina (which is not  a new Dx for her). Last month we put her on PPS and had a RUG score of PA1. Situation now is exactly the same as the last time. With the presumptive coverage rule, she does not meet the criteria.

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