Hi went through this last year in Louisiana. The level of cares still have to be tracked within a faciliklty. It is medicare fraud to give someone 100 days who have not had the break in spell of illness or have gone from the skilled level to ICF level of care in the 60 days. I had this question at the beginning of 2003 and there is some bill that the businees office sends out to medicare that keeps track of this or something like this. We had residents when looked into medicar site that their days reset to 100 but we knew that they shouldn't so we didn't skill them. I am sure someone else will reply with all the right information and correct way of going about tracking. Dawn Sheppard, RN, CRNAC ----- Original Message ----- From: "Debbie Settle" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, January 13, 2004 3:36 PM Subject: LEVELS OF CARE
> I have a questiion that I've not seen addressed here yet. I am in NC where > we recently went Case-Mix on Medicaide. We no longer have "Skilled" or > "ICF" levels of care. We have "Nursing Home" and "Domicilary." If someone is > Domiciliary, we have to get them into a Rest Home or Assisted Living > Facility. However, my question is.... If we no longer have "SNF" level, how > do we determine if someone has had a 60 day period of wellness? Currently we > are allowing residents to have another 100 Med A days if they haven't been > in hospital in 60 days. I'm not comfortable with this, but I'm told it > dosen't matter since there are no more levels. Can someone shed some light > on this??? > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
