From: http://www.cms.hhs.gov/manuals/101_general/ge101c04.asp#40
40.4 - Timing of Recertifications for Extended Care Services - (Rev. 1, 09-11-02) The first recertification must be made no later than the l4th day of inpatient extended care services. A skilled nursing facility can, at its option, provide for the first recertification to be made earlier, or it can vary the timing of the first recertification within the l4-day period by diagnostic or clinical categories. Subsequent recertifications must be made at intervals not exceeding 30 days. Such recertifications may be made at shorter intervals as established by the utilization review committee and the skilled nursing facility. ----- Original Message ----- From: "Orth, Ron A" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, May 12, 2004 3:49 PM Subject: RE: Certs/Recerts > 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 > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > > CONFIDENTIALITY NOTICE: > This message is intended for the use of the individual or entity to > which it is addressed and may contain information that is privileged, > confidential and exempt from disclosure under applicable law. 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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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
