Hi Betty. Yes, you are on the right track. If these people have had qualifying stays and their doctors have signed the Cert/Recerts and have given you orders for SNF and if you are providing daily skilled services that you can reflect in the documentation, then yes, skill them. The fact that they might die soon does not negate the fact that they are clinically unstable and your LN's are providing a daily skilled service. Winona Phelps, RN
-----Original Message----- From: Wiedemann, Betty R [mailto:[EMAIL PROTECTED] Sent: Monday, April 12, 2004 10:10 AM To: List Server (E-mail) Subject: medicare A vs hospice 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? /---------------------------------------------------------- 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 -----------------------------------------------------------/
