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Is everyone aware that when you code a SIgnificant
Change of Status assessment for a Medicare resident, you should code AA8b =
8 unless you are combining the Sig Change with a regularly scheduled Medicare
assessment (ie 5-day, 14-day, etc)?
Even though the OMRA is usually used to indicate
the end of therapy, CMS wants the Sig Change coded this way so they know to
apply a new RUG score. The system did not have a way of indicating that this
assessment was going to be used for PPS, so they decided to use AA8b=8 to show
this.
Nathan
----- Original Message -----
Sent: Thursday, April 22, 2004 9:47
AM
Subject: RE: Delayed PT
May I have a copy of the letter too? Thank you in advance!
Faye, I just read your note to Betty, if it's not too much to ask can
I also get a copy the letter, but only if you"re not inundated with
requests,fax# is 914 2328346..Thanks so much, Janice M.
Christine faxed
me a copy of the letter they use and it is perfect for setting the stage
for predictable pauses in skilling/therapy r/t weight bearing status,
waiting for stumps to heal/prosthetics to arrive etc. I know we are
going to use it. I could fax you what she sent me if you want.
Just send me your fax number. This is just another example of how
valuable this site can be-is it not?
Faye
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of betty haines
Sent: Thursday, April 22, 2004 8:04
AM
To:
[EMAIL PROTECTED]
Subject:
RE: Delayed PT
Please tell me about the letter of
predictability. I haven't seen this.
Betty H
Faye Jones
<[EMAIL PROTECTED]> wrote:
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Richardson,
Christine
Sent:
Wednesday, April 21, 2004 11:05 AM
To: [EMAIL PROTECTED]
Subject: RE: Delayed
PT
we use a
letter of predictability for res with fx incase they do not have a
wt bearing upgrade with in the 3o day
window
-----Original
Message-----
From:
Ann Schoeny [mailto:[EMAIL PROTECTED]
Sent: Wednesday, April 21, 2004
9:56 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.
sem haven
nursing and rehab
-----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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