I get my certs to the docs a full seven days prior to the date they need to be signed.
I still get some back dated after the allowable time. This doesn't seem to be in my
control,but my guess is that the physician wouldn't be held
responsible but that I would. Any suggestions? I sent a letter out explaining the
importance of timely dated certifications and re-certifications. Physicians don't
seem to understand, nor do they want to. I even get them back with everything on the
certification signed and dated with the intial cert date -- the original cert, day 14,
44 and 74. Was told a while back, that I can't insert the date I want it signed by as
the physician must sign and date on the actual day s/he signs it and this makes sense.
>
> From: [EMAIL PROTECTED]
> Date: 2004/01/29 Thu PM 08:10:21 EST
> To: [EMAIL PROTECTED]
> Subject: Re: Rena, please arbitrate this matter??
>
> Here is what the law of the land says (Code of Federal Regulations, 42 CFR
> 424.22, Ch. IV ):
>
> <<QUOTE
> (d) Timing of recertifications. (1) The
> first recertification is required no later
> than the 14th day of posthospital SNF
> care.
> (2) Subsequent recertifications are
> required at least every 30 days after
> the first recertification.
> >>END QUOTE
>
> Rena
>
> Rena R. Shephard, MHA, RN, FACDONA, RAC-C
> Chair, American Association of Nurse Assessment Coordinators
> [EMAIL PROTECTED]
>
>
>
> > Subj: Re: Rena, please arbitrate this matter??
> > Date: 1/29/04 1:30:38 AM Pacific Standard Time
> > From: [EMAIL PROTECTED]
> > Reply-to: [EMAIL PROTECTED]
> > To: [EMAIL PROTECTED]
> > Sent from the Internet
> >
> >
> >
> > Rena: (I meant "late as 30 days..." , and not "last as 30 days...). Olga
> > >>
> >>
> >>
> >> Rena:
> >>
> >> I had an internal audit completed by my reimbursement manager today; upon
> >> reviewing my current med. certs, she noted that the dating (of subsequent
> >> certifications) was not in accordance with existing regulations. Example:
> >> Mr. A was admitted on 12/1/03; the initial and "14 day cert" were
> >> signed/dated by M.D. for 12/2/03 (the manager had no issue with these certs),
> >> however
> >> the following cert was dated for 1/1/04 (30 days after 12/2/03), and this
> >> cert was found to be tardy. My understanding of SNF Manual Chpt 2 ("Coverage
> >> of Services" section 220.5) was that the next dated cert could be as late as
> >> 30 days after previously dated certification, as in my example.
> >> Please clarify this for me.
> >> Thank you very much.
> >>
> >
> >
>
>
>
>
>
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