PCU C-Diff

[Kabin]

How would you handle this c-diff case?

A patient resides at an assisted living facility that's worried about other residents becoming infected from c-diff. The assisted living facility asks for a PCU transfer.

Let's assume the patient didn't get c-diff from another resident. Is it fair for Medicare to pay for the higher level of care without first attempting to treat in the current setting? Or should there be some out of pocket to cover?

[CapeCodMermaid, RN]

If the resident has a private bathroom, the other residents aren't at increased risk. CDiff by itself is not enough of a reason to have skilled care in any setting. PCU? What is that?

[Kabin]

Jargon for a GIP in patient care setting. Darn, there's no way to edit anything on this site.

I agree. I think it doesn't quite warrant reimbursement for the next level of care.