If you read Medicare coverage of services (HIM) 212.3 B 1 "Medical Needs Are
Predictable".  There is no letter requirement but more a standard of
practice.  Read the example describing the hip fracture with NWB for 4-6
weeks. If, as a practical matter, the therapy can only be provided
inpatient, you can put them back onto Med A.  Gail

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ann
Schoeny
Sent: Wednesday, April 21, 2004 7:56 AM
To: [EMAIL PROTECTED]
Subject: RE: Delayed PT


We have never done this, what we do is try and get them to upgrade weight
bearing at ortho appt. Occasionally we have had to use Part B if longer than
30 days. 
ann m schoeny crnac
sem haven nursing and rehab
225 cleveland ave.
milford, ohio 45150
(513) 248-1270

-----Original Message-----
From: Faye Jones [mailto:[EMAIL PROTECTED]
Sent: Wednesday, April 21, 2004 10:47 AM
To: [EMAIL PROTECTED]
Subject: Delayed PT



 PT has discharged a resident r/t no increase in weight bearing status (post
fx with ORIF) and she has plateaued.  We had to cut her from MED A r/t no
other skilled service.  IF she does not get increased weight bearing before
the 30 day window for restarting PT/MEDA expires can we apply the delayed PT
exception to this situation if the d/c order for PT states to resume therapy
at a more appropriate time? 

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