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I'm not sure what you mean by predictable readmits, but don't understand
why the receiving physician could not write orders at the facility. Many
residents are covered by a physician other than his/her LTC physician especially
if transported to a hospital other than the one his attending uses. The
nursing facility would need to contact the resident's physician for orders when
the resident arrives.
As for section T, I think the intent is for the prediction of therapy on
the ARD. Therapists usually enter the anticipated therapy minutes when
they eval, but can change the minutes on the ARD if they have found that the
original anticipated minutes are not appropriate.
----- Original Message -----
Sent: Friday, January 02, 2004 5:43
PM
Subject: predictable readmits and section
T
I have 2 questions.
1. Predictable readmits-I have always been told that per Medicare
guidelines that when a resident comes to your facility as a predictable
readmit that the orders for predictable readmit must be written on the
discharge orders from the hospital and that it cannot be written by the MD
once the patient arrives at your facility. Have the rules changed?
Am I correct in my info and where can I find this in writting?
2. Section T-on the predicted therapy minutes. My
interpretation is that on the day that therapy goes in and evals the patient
they predict how many days and how many minutes the patient will be
seen. From that prediction is where we get the minutes for section
T. Of course I know that it is the actual minutes seen up up until the
ARD and then from the ARD it is that set of predicted minutes. If for
reason the the patient cannopt tolerate the predicted therapy and therapy then
changes for example on eval therapy decides to see the patient 5 days a week
for 45 minutes for OT and PT and 2 days week will be seen 30 minutes for OT
and PT. On day 4 therapy decides patient can only tolerated 5 days a
week for 30 minutes for OT and PT and the ARD is set for day 7 what set of
predictions will you use on section T the original set or the ones made on day
4? Is this written any where?
Thanks for all your help!
Lisa
Colorado
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