My understanding is that as long as a resident is unstable, for whatever
reason, if it's pain, comfort measures, that requires frequent physician
visits, frequent order changes, etc. & as long as you are having to make
frequent changes to keep the resident's care plan up to date, that
resident would remain qualified for Medicare A. They would probably be
covered under some of both, overall management & observation &
assessment. However, I would make sure & write a note in the chart as
to what is qualifying the resident & I would reassess it frequently to
make sure the resident remains qualified.
Pat Whitcomb, RN
MDS Coordinator
Madonna Towers
507-288-3911, Ext. 3050
With in the last month we have had 3 Rt return from acute care who have
crashed. The MD feels there is no way they can survive.
My question is.. if staff are providing skilled assesments for Pain
management, DU's or emotional comfort for someone who will die soon, are
we still able to keep on Medicare A.
I see that "services that could qualify as skilled nursing (1) overall
mangement of plan of care" would qualify. As well as (2) observation and
assessment of the Rt changing condition" Am I on the right track?
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