litigation done over this, new ruling, issue denial letter at least 48
hours before patient is taken off therapy/skilled care
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Debbie Settle
Sent: Friday, February 13, 2004 6:20 AM
To: [EMAIL PROTECTED]
Subject: RE: denial letterAlong the same line....... How early can a denial letter be issued? We have Medicare Meeting 1x week and usually decide in that meeting when resident will be coming off Medicare. I like to go ahead and issue letter immed so family can plan accordingly (esp if resident is staying in facility and will be pvt pay). My current facility's practice when I came on board wsa to issue letter on last covered day. My former facility's consultant had told me the letter should be issued on last covered day or the next to last day. Does anyone know what the regulation says?-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jennifer Russo
Sent: Thursday, February 12, 2004 5:17 PM
To: [EMAIL PROTECTED]
Subject: RE: denial letterIssue the denial immediately upon discovery. You can't go back as the resident and responsible party are supposed to be notified day of denial. (Save your self from ALJ hearing hassles in the future!!)-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Nancy Kavleski
Sent: Thursday, February 12, 2004 3:26 PM
To: [EMAIL PROTECTED]
Subject: denial letter
When it is determined the resident is no longer skilled, how soon does the family/responsible party have to be notified? What if you discover the resident should have been cut several days ago. Do you cut them the day you discover they are no longer skilled or the day they should have been cut?
Patsy Strouse <[EMAIL PROTECTED]> wrote:Section T2.
>>> [EMAIL PROTECTED] 02/12/04 03:06PM >>>
Not doing section T.No Medicare on this one. Med B only
-----Original Message-----
From: Kristen Tryba [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 12, 2004 1:53 PM
To: [EMAIL PROTECTED]
Subject: RE: Section G Ambulation
Section T
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Richardson, Christine
Sent: Thursday, February 12, 2004 1:39 PM
To: [EMAIL PROTECTED]
Subject: RE: Section G Ambulation
Then where do you reflect
in the MDS that the res does have the ability to walk?
-----Original Message-----
From: Michelle Witges [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 12, 2004 1:42 PM
To: [EMAIL PROTECTED]
Subject: Re: Section G Ambulation
Does the resident walk in her room, in the hall or the therapy room? If
the only place the resident walks is in the therapy room then they would
have 8 on walking in room and hall. Michelle
----- Original Message -----
From: "Green, Ava" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, February 12, 2004 1:09 PM
Subject: Section G Ambulation
> If you have a resident who does not walk in her room, but does walk in
> therapy, do you code on MDS section G for ambulation, or do you code
> as an
8
> because they never walked in their room?
>
> Thanks in advance for your help,
>
> Ava
> /----------------------------------------------------------
> The Case Mix Discussion Group is a free service of the American
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/----------------------------------------------------------
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
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/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
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The Case Mix Discussion Group is a free service of the
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