Medicare

[Guest Guest_Mance]

Hi. My facility has just started taking Medicare patients as of December of 2005.

My question is "How do you document the EXACT time with a resident during the review time for that individual one?" I'm not sure how i'm am trying to put this without sounding dumb. Do you chart the restortive under your activities or give the times to PT or, can you count it as both Activities and Restortive? I'm so confused having one person telling me one thing and another telling me something else, and none of us have delt with Medicare residents before. :-?

[bigchris 1]

I will try to sort some of this out as your message was a little shaky. As, for medicare you have 5 days for the initial review and then you need to have something in the chart. To eliminate some of the pressure for my staff, I created a simple checklist for our residents since thier average stay is only 23 days. This way, it is easier to process the resident initially. If the resident stays for 14 days, we transfer that resident into a "long term" mode. Then we process the regular paperwork depending on the prognosis for stay.

 

ON restorative...

 

You CANNOT claim both therapy and or Activities. Restorative is in a gray area, that is technically nursing. We can conduct restorative (4 residents each staff) and document. And if resto is the only thing the resident participates in, we can document that in the informal notes. But we cannot claim credit in multiple departments.

 

 

Hope this helps.

 

BC