skilled charting

Jan 16, 2009 02:23 PM

by nrsbetrn

For Medicare Skilled residents charting does your facility chart every shift or daily charting? The requirements say the resident must need a "daily" nurisng assessment or therapy 5xweek. So are we required to chart every shift?

Nascar nurse · Jan 16, 2009, 06:04 PM

Re: skilled charting

Daily charting meets the medicare requirement, but your facility may have a policy that requires charting every shift.

*Rascal1* · Jan 16, 2009, 08:17 PM

Re: skilled charting

Many facilities chart every shift. And most struggle with getting the nurses to document the critical information required for medicare reeimbursement.

CapeCodMermaid · Jan 16, 2009, 09:16 PM

Re: skilled charting

Right....the requirements are once daily but most places require once a shift. Seems it would be easier to teach the nurses how to right a good skilled note than to have them write nonsense 3x/day.

*caliotter3* · Jan 17, 2009, 12:04 AM

Re: skilled charting

When I was in LTC, our DON was trying to get us to go from the nonsense notes to good notes meeting medicare standards. Not much headway was being made at the time. We charted each shift.

*Rascal1* · Jan 17, 2009, 09:50 AM

Re: skilled charting

By charting every shift there are three chances to get it right ! Do the nurses understand that their notes play heavily into how much the facility is paid by Med. A.?

CapeCodMermaid · Jan 17, 2009, 01:02 PM

Re: skilled charting

Apparently since they don't think their salary is tied into the financial health of the facility, they don't much care if we make money with the Med A patients no matter how many times they are told.

achot chavi · Jan 17, 2009, 01:05 PM

Re: skilled charting

Originally Posted by CapeCodMermaid

Apparently since they don't think their salary is tied into the financial health of the facility, they don't much care if we make money with the Med A patients no matter how many times they are told.

This is why we are constantly reminding them this important detail- chart or we will close the unit!!!

*Rascal1* · Jan 17, 2009, 01:29 PM

Re: skilled charting

What if we tack on a "little extra note" to the Med. A documentation cheat sheets at the nurses' station, it could say,"Just a little food for thought in this tough economic time--How do you Envision your next raise?"....

achot chavi · Jan 17, 2009, 01:39 PM

Re: skilled charting

Nice! :-)

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skilled charting

skilled charting

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