Long-Term Care

Q&A with Regulatory Specialist Diane Brown

MDS 3.0 Insider, July 13, 2009

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Q: A resident in our facility is covered by a Managed Medicaid plan and also has Medicare Part C. She did not have a qualifying hospital stay and is now ordered to receive physical therapy five days a week. Is this a skilled service? Should we do a 5-day PPS assessment and bill for payment on a RUG?  Also, does this break her 60 day period of wellness and should we start counting the 60 days over again when she is discontinued from therapy?

To read Regulatory Specialist Diane Brown's response, visit MDSCentral.



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