I'm not Nathan but can I make a comment? When was the last day of treatment of rehab? Since GT is one of the reasons you are skilling this resident, after last day of treatment of rehab, patient maybe skilled because of the GT if it meets the required calories & fluids and has Medicare days available. Also, you cannot extend Medicare coverage just because Rehab forgot to inform the team that resident has been discontinued.
--- Edna Adam-Claros <[EMAIL PROTECTED]> wrote: > MAYBE NATHAN CAN HELP US > > SCENARIO: > PT SKILLED FOR REHAB (ST/PT) AND GT. > 60 DAY ARD: 02/17 > 60 DAY REFERENCE PERIOD : 02/04 -02/18 > LAST MEDICARE COVERED DAY: 02/17 > > PT PROGRESS NOTES: D/C SKILLED SERVICES AS OF 01/12. > NO PHYSICIAN ORDER WAS OBTAINED/WRITTEN. > > ST PROGRESS NOTES: "PT HAS BEEN D/C THIS PAST WEEK > SECONDARY TO....".NO PHYSICIAN ORDER WAS OBTAINED OR > WRITTEN. > > REHAB DID NOT MENTION ON PPS MEETINGS THAT RESIDENT > WILL BE OR HAS BEEN D/C'ED. > > QUESTION: CAN RESIDENT STILL BE CONSIDERED SKILLED > UNDER REHAB TIL LAST MCR COVERED DAY (2/17) BECAUSE > THERE IS WRITTEN D/C ORDER? OMRA WAS NEVER > SCHEDULED SINCE THERE IS NO REHAB D/C ORDER. > > > > signature > Do you Yahoo!? > Yahoo! Mail - More reliable, more storage, less spam ===== Melinda de la Cruz, R.N., B.S.N., RAC-C MDS Coordinator *******CONFIDENTIALITY NOTICE******* This message and any attachment are confidential and may be privileged or otherwise protected from disclosure and solely for the use of the person (s) or entity to whom it is intended. If you have received this message in error and are not the intended recipient, please notify the sender immediately and delete this message and any attachment from your system. Please be advised that any use of this message is prohibited and may be unlawful, and you must not copy this message or attachment or disclose the contents to any other person. __________________________________ Do you Yahoo!? Yahoo! Mail - More reliable, more storage, less spam http://mail.yahoo.com /---------------------------------------------------------- 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 -----------------------------------------------------------/
