Re: cut therapy and 48hr notice???? of medicare ending?

[Julie LaCroix]

Medicare + choice cases are discussed in weekly mtgs with the managed care representative.  This minimizes suprises for the staff and family and helps enormously with discharge planning. You can find a discussion of the new SNF ABN on the AANAC website which was posted towards the end of February.  Click on 'whats new'  from the home page.  The file is too big to attach. ----- Original Message ----- From: MDSNancy To: [EMAIL PROTECTED] Sent: Tuesday, May 04, 2004 5:15 AM Subject: RE: cut therapy and 48hr notice???? of medicare ending? OH!   I'm beginning to understand,  the medicare +choice is not for medicare A, but  a managed care!   Thank you!  But how can you possibly give 48 hrs notice when we call on the day recert is needed and they tell us, nope , no more coverage?? And I would like clarification about any changes in medicare A letters as well. Thanks, Nancy Faye Jones <[EMAIL PROTECTED]> wrote: Yes but my understanding from prior communications here is that it is just for Medicare+Choice coverage not all Medicare A. I am not that familiar with Medicare+Choice as we have never dealt with it here.  I think it is managed care and since a majority of the local physicians here don�t participate in these types of plans we don�t see it. I was also under the impression the new ABN letters have to be in use by 10/04 for regular Med A.  Am I wrong?  I think I could use some clarification.   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: Tuesday, May 04, 2004 9:13 AM To: [EMAIL PROTECTED] Subject: Re: cut therapy and 48hr notice???? of medicare ending?   I saw it here, and the website where it is posted, unless I am totally missing something!  This is what  I saw: ""The 48 hour requirement has been in effect for Medicare + Choice organizations since January.go to www.cms.hhs.gov/medicare/bni/ and scroll down to Medicare + Choice for information. "" That IS what it means, isn't it?   And the forms that are there.  We're supposed to use them now, instead of what we were using up until now? To inform family/residents that their medicare coverage is ending? Thanks, Nancy lake246 <[EMAIL PROTECTED]> wrote: Where does it say 48 hours notice is needed. I missed that. ----- 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 Do you Yahoo!? Win a $20,000 Career Makeover at Yahoo! HotJobs Do you Yahoo!? Win a $20,000 Career Makeover at Yahoo! HotJobs