5-day recertification window

[ketchasketch_RN, ASN]

Is there a rule (I can't find it) that indicates that all disciplines need to perform their evaluations as well as the comprehensive assessment in the 5-day window prior to recertification? I know the recertification comprehensive assessment must be completed at that time, but what about other disciplines planning on staying on the case?

[cathrn64]

They do not have to do theirs until after the new certification period starts

[ketchasketch_RN, ASN]

cathrn64... I have heard this and have seen only a couple of agencies follow this... the vast majority of agencies I have worked for... mostly as a Director or Administrator have followed the rule that if it is going on the new 485, the evals have to be done prior to their 1st visit in the new cert period. The logic behind it is that the OASIS recert has to reflect the number of therapy visits on it and all disciplines should eval prior to the cert period to determine in that 5-day window whether or not they are going to continue. The visit should be an eval, or a discharge. I cannot see how this can be accomplished and put on the 485 if they wait till the new episode already starts. Please help me see this better.

[cathrn64]

I misspoke (or mis-typed) The therapists actually do a re-eval prior to the end of the cert and than another eval after the next certification period starts.