Thanks Nona

I still thought there was something else put out by CMS last year with a
decision regarding obtaining the initial cert and 14-day recert at the same
time.  I just cant remember where I saw that (if I truly did!!!)

-----Original Message-----
From: Winona M. Phelps [mailto:[EMAIL PROTECTED]
Sent: Wednesday, May 12, 2004 1:53 PM
To: '[EMAIL PROTECTED]'
Subject: RE: Certs/Recerts


Hi.  Regarding Certs/Recerts, here is the link to the latest Transmittal -
74 - that was issued April 23, 2004:
http://www.cms.hhs.gov/manuals/pm_trans/R74PI.pdf
"This instruction clarifies that a certification need not be a discrete
form, and instead, may be reflected in various elements in the medical
record."
The last page of the Transmittal states that facilities must comply with the
requirements as described in 42 CFR 424.20.  Here is that link: 
http://www.access.gpo.gov/nara/cfr/waisidx_03/42cfr424_03.html

Thanks,
Winona Phelps, RN, RAC-C


-----Original Message-----
From: Orth, Ron A [mailto:[EMAIL PROTECTED]
Sent: Wednesday, May 12, 2004 10:57 AM
To: '[EMAIL PROTECTED]'
Subject: RE: Certs/Recerts


I agree with this, but I thought I remembered CMS making the determination
that the 14-day recert could be signed at the same time the initial cert was
signed upon admission.

Ron

-----Original Message-----
From: Debbie Davis [mailto:[EMAIL PROTECTED]
Sent: Wednesday, May 12, 2004 11:39 AM
To: [EMAIL PROTECTED]
Subject: RE: Certs/Recerts


Last I saw said the initial should be signed ASAP

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Orth, Ron A
Sent: Wednesday, May 12, 2004 11:00 AM
To: '[EMAIL PROTECTED]'
Subject: Certs/Recerts


Did I read somewhere that CMS allows the intial Skilled Cert and the 14-day
recert to be signed at the same time?  Or am I dreaming?

Ron
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/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
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