Re: Fwd: predictable readmits and section T

[carol maher]

I'm glad that you clarified, I was not understanding what you meant at all.  I, also , believe that the discharging physician must write that the resident will need Medicare in a timeframe that would be predictable by common practice.  The resident who is non-weight bearing for 6 weeks is a good example.  I think the SNF manual states that this needs to be documented on discharge from the acute hospital.  I always ask the physician at the hospital to write this prior to discharge.  I don't know if this has changed.  When looking at the RAI manual on page 2-39 it speaks of "physician hold" and does not state that it needed to occur while in the hospital though.  I would be interested in learning whether this has changed also.


-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 4, 2004 6:08 PM
To: [EMAIL PROTECTED]
Subject: Fwd: predictable readmits and section T

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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