hello all,
is there a rule of thumb that can guide me when to cut from part A ---- the criteria....reasonable medically necessary, provided only in a SNF, only by professional staff, and daily does provide some guidance however so much remains cloudy and grey. the one bit of advice i did get from a help desk was to be ready to defend my decision. trying to be fair to both the federal gov. and the residents right to access medicare is sometimes a difficult matter. is there any info you may know of that could help me . situations, examples,scenarios, websites, manuals, anything?
consider this ---if you skill for order changes and dr's visits within lookback period and resident seemingly stabilizes how long would be fair to allow for a complete assessment to know resident is indeed out of the woods before part A is cut? i know what the answer will be don't i -----it depends! just venting to friends. thanks.
again thank you
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