| Resident on skilled for therapy and nursing. D/ced therapy due to NWB status added when returned to the orthopedic. Did OMRA and kept on for nursing to skill. Last day of skilled was 12/16. Seen orthopedic with weight bearing as tolerated. Brought back to skilled because in 30 day window. Is this right? I don't have this happen often, but that is what we did. Now being seen for therapy. Second question is about a mess up. Did not D/C from skilled in the chart after 100 days. Reviewed today and realized we were over, so many in and out of the hospital , 5 day , d/c prior to admit, admission and 5 day, 14 day d/c and so on and we messed up. We have not billed for this, but what needs to happen now? Last assessment was needed, so that is ok. My biggest concern is she is on Vancomycin and she returns to medical assistance for payment. I am worried Vanc. is not on the preferred list. What do I do about the pre authorization form that probably needs filled out? I have never done this before and I am just a mess. My biller keeps the count and I used to also, I guess I will go back to marking off the days as I did before. Any suggestions to fix the mess up? Thanks in advance for any info. |
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