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Q: The Medicare census in our facility is usually small, and we discuss the current Medicare residents every day during our morning department head meeting. How often do we need to hold an extra Medicare meeting?

Julia's PPS Chat, October 12, 2005

Welcome again to our PPS chat!

How many of you wish that you could attend more meetings every day? I don't think too many people truly want to spend more time in meetings.

How important is the Medicare meeting? Read on to find out the answer-

Q: The Medicare census in our facility is usually small, and we discuss the current Medicare residents every day during our morning department head meeting. How often do we need to hold an extra Medicare meeting?

A: The answer to your question depends on your current communication in the daily meeting. The most important reason for a Medicare meeting is to be sure that everyone involved with Medicare Part A residents is aware of

  • who is currently covered under Medicare
  • the residents' Resource Utilization Group (RUG) levels
  • which residents will be discharged from Medicare soon
  • any anticipated Medicare admissions

If you discuss these items in your daily meeting and all staff who need to know the Medicare information are present, then you should not need an additional meeting. If, however, staff involved with Medicare residents do not attend the daily meeting, then you should have an extra meeting for the purpose of reviewing your skilled care residents.

The important concept to remember when scheduling these meetings is not the quantity of meetings you are having, but the quality of the information presented. Some smaller facilities might only have a Medicare meeting once or twice a week, whereas larger nursing homes hold a Medicare meeting every day.

Have you had any communication issues regarding Medicare status of residents? If so, you might want to schedule a separate meeting every day. Otherwise, if everyone feels comfortable with reviewing the Medicare information during your daily meeting, then continue with that.

Remember that good communication and thorough documentation can assist you in obtaining the proper RUG reimbursement levels and also with providing the care that your residents need.

Make sure that your Medicare meeting is a productive one and that you stay focused on the reason for the meeting. Then you will accomplish what you need to and be free to continue on with your day.

Until we chat again about coding urinary tract infections on the MDS-