Title: Medicare Eligible
We carry them under the presumed coverage/transitioning, because the resident did have a hospital stay and it is reasonable to expect them to need theray.  We usually discharge from medicare at day 14 (I'm not comfortable with that time frame, but it is not my decision).  I think it is appropriate to cover until you do the 5 day and know the resident is stable and not appropriate for therapy.
 
Davina DeMerritt, RN
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Angie Palac
Sent: Tuesday, March 02, 2004 10:32 PM
To: [EMAIL PROTECTED]
Subject: Medicare Eligible

If a resident is admitted to a Nursing Home after a 3 day hospital stay, and therapy was ordered, but unfortunately the resident was not appropriate for therapy, what does the facility do?  For example, the evaluation was not done until Monday because the resident was admitted late Friday. How does the facility bill for Friday, Saturday and Sunday, and lets presume that there is nothing that the facility can capture from the hospital.  Has this ever happened to anyone?  Any help would be much appreciated.

Angie

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