Re: Physician Certification

[RRS2000]

The Code of Federal Regulations - which is the law of the land - says that the initial certification "must be obtained at the time of admission or as soon thereafter as is reasonable and practicable" [42CFR424.20(b)(1)].  This definition has not been further defined to provide specific time limits.  This is a federal regulation for Medicare Part A and would not be defined by state regulation.

It is the first recertification that is required "no later than the 14th day of posthospital SNF
care" [42CFR424.20(d)(1)].

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Re: Physician Certification
Date: 2/27/04 8:04:15 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



By 14th day,
See CMS RAI Manual DEC 2002 revised- page 6-8 (chap 6)
Jenvo in Missouri

MDS Lady <[EMAIL PROTECTED]> wrote:

How soon after admission must the physician certification be signed for Med A?

What I find states "upon admission, or as soon thereafter as its reasonable and practical".
 
Does "reasonable and practical" vary state to state?
 
Thx in advance!
Do you Yahoo!?
Get better spam protection with Yahoo! Mail