That is one that is difficult to answer without all the facts. To
pick the resident up again , she would need to require skilled services related
to a condition that was treated in the acute care hospital during the 3 day
qualifying stay or that developed while on skilled services at the SNF.
She went for a psych admission and has now declined. It would be hard to
prove that the deconditioning now was related to the original
hospitalization. Since therapy ended before she went for the psych
admission, it seems that the decline was due to the psych problem and not the
original illness. Hard one to determine.
----- Original Message -----
Sent: Thursday, February 12, 2004 10:15
AM
Subject: Fw: Placing back on MCR after
taking off...
Anyone have any thoughts
on the question below? Billing is asking me to let them know
ASAP...
Thanks!
----- Original Message -----
Sent: Thursday, February 12, 2004 9:28 AM
Subject: Placing back on MCR after taking off...
We have a resident whose last MCR day was
01/21/04. On 01/22/04 she was d/c'd to a psych. hospital. Upon return she was
not skilled. Now therapy has picked her up to treat 5x/week x 2 weeks for
ther. ex., gait training... etc. The 3 day stay that began the benefit period
was due to pneumonia (which caused the sickness that led to the weakness that
led to the therapy - I hope that sentence makes sense). So, can she be
skilled again? And if so, is it an option or a requirement that
she be returned to MCR (not that I do not want to place back on
MCR, but I am wondering for if the situation comes up again). She has
approx. 92 days left.
