Re: Criteria

[Denice Stelly]

Hospitals are watching the Medicare residents closely. 

 

Remember, they are reimbursed on a PPS system also (called DRG).  The hospital is reimbursed a flat rate based on the principal dx icd-9-cm code and additional monies is added for CC (complications - comorbidities). 

 

Acute care facilities try to get the patient as soon as possible. 

 

There is criteria that must be met to discharge a resident (Example:  Temperature, abnormal labs unresolved or not treated, etc).

 

Therefore, our acuity level will be higher -

 

Denice Stelly, RHIA

Medical Records Consultant

[EMAIL PROTECTED]

"Wolford, Kate" <[EMAIL PROTECTED]> wrote:

I am from a hospital based skilled-28 beds. We are finding our acuities are getting way to high. Do any of the hospital based units have a list of criteria they use? Our docs like to think after 3 midnights  they need to transfer to us.

I understand Medicare acuities, I need high end acuities. How ill do other units take patients?

Thanks

Kate

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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Norma Jean LaPoint
Sent: Monday, April 19, 2004 5:15 PM
To: [EMAIL PROTECTED]
Subject: Survey

New York State survey team arrived this morning at our 120 bed nursing home.

They were here last year around May 3rd.

Norma Jean

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