RE: cut therapy

[Faye Jones]

Just the standard 24 hour notice rules.  On the 3rd day we cut, make phone call/send letter.  It is our last paid Med A Day.  I realize that at this time they haven’t received therapy x 3 days but they have been approached daily by therapy and nursing with much encouragement, instruction in negative outcomes and sometimes MD contact/visit/orders so I still consider it skilled care.  We have never had a reimbursement problem with our policy.   Faye Jones, RN St. Regis Nursing Home 89 Grove Street Massena, NY 13662 Phone: (315)769-2494 Fax: (315)769-3604 Email: [EMAIL PROTECTED]   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Bogda Habich Sent: Monday, May 03, 2004 10:38 PM To: [EMAIL PROTECTED] Subject: Re: cut therapy   where I can find these guidelines? ----- Original Message ----- From: Faye Jones To: [EMAIL PROTECTED] Sent: Monday, May 03, 2004 3:56 PM Subject: RE: cut therapy   Therapy and SW work closely together and the resident/responsible parties are instructed immediately upon any refusal of the repercussions if they refuse x 3 and this is documented in progress notes. >From there we follow the guidelines.   Faye Jones, RN St. Regis Nursing Home 89 Grove Street Massena, NY 13662 Phone: (315)769-2494 Fax: (315)769-3604 Email: [EMAIL PROTECTED]   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of MDSNancy Sent: Monday, May 03, 2004 3:39 PM To: [EMAIL PROTECTED] Subject: RE: cut therapy   I have a question for this senerio.  Our therapists will try for 3 times, then if resident refused therapy 3 times, they will d/c therapy.  If therapy is the only skill, what do you do when you need to give the family the 48 hours notice of medicare being stopped?  They won't get therapy for those 48 hours.  What should be done here? Since now we need to give 48 hours notice and not 24??? Faye Jones <[EMAIL PROTECTED]> wrote: This is our policy.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Sunday, May 02, 2004 2:28 AM To: [EMAIL PROTECTED] Subject: cut therapy   hello to all,                i have had a few burning questions. the more i read  the worse it gets LOL here's another ----- OK    if a resident skilled part A for rehab refuses to participate  (able to physically) just refuses either unmotivated or unwilling. i was told to continue to offer for 3 days before i cut skilled service. on 3rd day if refused again that would be my last covered day. do you agree?                                           thanks                                                        [EMAIL PROTECTED] Do you Yahoo!? Win a $20,000 Career Makeover at Yahoo! HotJobs