RE: discharging medicare A

[Debbie Settle]

This sounds like a facility or corporation policy. In one of my former facilities the new Adminstrator and DON decided that this would be our policy (after some med orders were missed on a few re-admits). At the time we had a resident who was D/C'd & Readmitted multiple times. However, once all the Dept Heads realized that they had to redo their inital assessments ands all the other paperwork that is involved in a "new" admit each & every time he came back from the hospital they/ we started complainig. Finally we were allowed to place copies of all the inital paperwork and previous MDSs/ careplans on chart after they had been stamped "COPY."

 

 -----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Pat Rich
Sent: Wednesday, January 14, 2004 1:09 PM
To: [EMAIL PROTECTED]
Subject: discharging medicare A

Please help me clarify what is regulation on medicare A residents. If medicare A goes out to the hospital I d/c return anticipated and upon return I do a sig. change assess./5day or if no change I do na/5day. I then review raps if indicated and pull forward if no changes. I leave 15 mos of assessments on the chart at all times regardless of admit or readmit. I have been told recently to completely d/c chart and start all over with new raps with each admit and that the 15 mos only apples to icf not medicare. Would someone please clarify this for me.

thanks for you help
pat

This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not the intended recipient of this message, please notify the sender immediately and delete the material from any computer; do not delive distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

---

Do you Yahoo!?
Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes