Long-Term Care

PPS Q&A

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

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Q: A resident covered by Medicare Part B is picked up by rehab. However, the resident is also on restorative nursing programs that duplicate the services being provided by rehab. Do the restorative nursing programs need to be held until the resident is discontinued from therapy?

A: The restorative nursing and rehab teams need to determine, through assessment, whether there are different goals the restorative nursing team can work on that would benefit the resident. If not, they should wait until the Part B rehab is completed and then pick up the resident on restorative nursing programs, if it is warranted.
In some situations, it can be appropriate for both restorative and rehab to be treating the resident, but they must be working on different aspects and have different goals that are compatible rather than duplicative.

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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