Fwd: predictable readmits and section T

[IBARN96]

predictable readmit for an example would be a hip fx with weight bearing restrictions such as non-weight bearing for 6 weeks post-op.  Initially is admitted on rehab unit but will need further therapy once weight bearing status changes.  Under initial Med A guidelines predictable readmit orders were to be written by the discharging physician at the hospital on the discharge papers not the physician at the facility.  I am questioning whether this rule has been changed or not and where to find it in writting     In a message dated 1/3/2004 5:00:34 PM Mountain Standard Time, [EMAIL PROTECTED] writes: 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.

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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 ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] 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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