Re: MCR A resident that needs therapy to be held- can she stay skilled? ASAP please...

[Jamie Morris, RN]

Title: Citrus Punch

I have heard the 30 days... is that 30 days from the day I take her off MCR A or 30 days from the beginning of the benefit period?  ----- Original Message ----- From: carol maher To: [EMAIL PROTECTED] Sent: Friday, January 16, 2004 12:36 PM Subject: Re: MCR A resident that needs therapy to be held- can she stay skilled? ASAP please... If this resident is no longer receiving daily skilled services, you will need to take her off of Medicare A.  If she is given weight bearing status again within the next 30 days and therapy needs to see her daily, you can pick her back up again.  You would continue with the medicare days from where she left off, but begin the PPS MDS cycle again with a 5 day assessment. -----Original Message----- From: "Jamie Morris, RN" <[EMAIL PROTECTED]> Sent: Jan 16, 2004 10:00 AM To: [EMAIL PROTECTED] Subject: Re: MCR A resident that needs therapy to be held- can she stay skilled? ASAP please... I am sorry it took so long to answer you... I have been at a seminar.  She is on day 25 of her stay when all therapy & all skilled services ended (had 2 wounds, but one healed)....  She has seen an Ortho. since the last time I wrote &  he made her non-weight bearing, I don't know for how long... ----- Original Message ----- From: Brenda Chance To: [EMAIL PROTECTED] Sent: Tuesday, January 13, 2004 1:52 PM Subject: RE: MCR A resident that needs therapy to be held- can she stay skilled? ASAP please... What assessment period are you in?  5 day?  14 day? ,etc.  When will she see the ortho?    Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Jamie Morris, RN [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 13, 2004 2:19 PM To: [EMAIL PROTECTED] Subject: MCR A resident that needs therapy to be held- can she stay skilled? ASAP please...   We have a resident who fell & sustained a hip fracture. She is getting PT & OT. This past weekend her foot was noted swollen & she was sent for an x-ray. A fracture was found. Now therapy has put her on hold. This happened on day 5 of her 7 day ref. period. Now she is on hold until she sees the ortho. MD. Her skill was from the therapy.... what do we do now? The fracture was found on day 23 of her stay. Can her MCR- A be held until she is able to participate in therapy again?   /---------------------------------------------------------- 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 -----------------------------------------------------------/