Long-Term Care

PPSA Q&A

PPS Alert for Long-Term Care, January 1, 2009

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

Editor’s note: “PPS Q&A” is written by Rena R. Shephard, MHA, RN, RAC-MT, C-NE, founding chair and executive editor of the American Association of Nurse Assessment Coordinators and president of RRS Healthcare Consulting Services in San Diego. To submit a question, contact Associate Editor Emily Beaver at ebeaver@hcpro.com.

Q. If rehab places a resident’s therapy on hold pending the arrival of equipment, how long can we wait without any therapy being provided before we have to deny coverage?He doesn’t have any other skilled need.

A. Therapy hold is not recognized by Medicare Part A. Either the resident is receiving rehab or he isn’t. If you know equipment won’t be there within a couple of days, therapy should be discontinued. When therapy is to be resumed, new orders should be received.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.

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