You cannot pick her back up again unless the reason for coverage is for a reason that
was treated in the qualifying hospital stay or during the skilled stay in the SNF.
So, if this is a new problem, you cannot give coverage. I can't tell from your
description whether this is new or an exacerbation of a problem treated when under
skilled care.
-----Original Message-----
From: Billy Jo Stewart <[EMAIL PROTECTED]>
Sent: May 4, 2004 10:34 AM
To: [EMAIL PROTECTED]
Subject: medicare skilling question
Hello Everyone,
I have a resident that was admitted to my facility on
01/08/2004. she utilized medicare benefits until 03/03/2004. She was
stable at that point. Since then she was picked back up by therapy on
03/15/2004 and they were seeing her 5xwk and she was showing s/s of UTI
and placed on antibiotic. That has since cleared up and was taken off
medicare on 04/19/2004. Now she is showing s/s of tremors and the MD
placed her on ativan 2mg IM prn for seizure activity. then on 05/03/2004
she had an elevation in her B/P and MD ordered nitropaste 1/2 inch q 6
hours and increased her klonopin also. her b/p has been stable since he
made the adjustments yesterday. MD progress notes state that resident
is going to continue to decline and since the new problems that arouse
family and MD in agreement not to send resident to hospital. She only
has 9 days left would you go ahead and place her back on medicare?
thanks,
Billie Stewart, RNAC
[EMAIL PROTECTED]
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
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Be sure to visit the AANAC website. Accurate answers to your
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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
-----------------------------------------------------------/
