Managed care

[Rascal1]

Does anyone track and follow managed medicare pts. on their short term rehab. unit?

And if so,do you know why or how these pts.come to fall under the managed care payer

source rather than Med.A after having a 3 day acute hospital stay? thanks...

[susanthomas1954]

Seriously...the armchair quarterbacks need to chill, no? I've been reading medical records for 37 years, and I know an IV med when I see one. Everyone's an extensive services expert....I had to explain to a lovely admissions nymph that a diagnosis of IV DRUG USE in the community is not an extensive service. I don't think she ever believed me. The consultant insists that everyone in the hospital has an IV. I just asked her to show me any that I had missed. She disappeared. If I make a mistake, I will OWN it, and send a correction, for heaven's sake. I've been in the hospital, and I didn't have IV meds during the look back. Nor was I on a ventilator, nor did I have trach care. (Thank all deities involved). I just smile and hand them whatever measly records I did get from the hospital and ask them to show me. It's a hobby now.

[rapkeygurl]

yes they do need to chill-- and you can not squeeze blood from a turnip!! But they swear you can. They the non nurses are asking me to fax the mds over now lol not just the rug scores so she can try to figure out what I am missing. and of course it does not help that the hospital tries to use all the swing bed days they can