Re: Ending the PPS MDS?
The "book" way... The Dr. makes the determination when a resident no longer requires skilled care. (But, more often than not.. Dr. doesn't even really know the Medicare A guidelines and certainly isn't keeping track of who qualifies and who doesn't)
The "real world way".. I would call up Dr. X (or wait til he comes in if I know he comes routinely) & state "Mr Jones has completed therapy and no longer meets skilled care requirements. His last day of medicare coverage should be xx/xx/2008." Dr. says, "Ok". I write physician order "D/C from medicare A skilled care. Resident no longer meets skilled guidelines"
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