Guest guest Posted March 6, 2008 Report Share Posted March 6, 2008 Question posted for a friend. In a SNF who defines the work week Start on Sun and End on Sat. (not a written policy on this, just the way they do it) They had a patient with 3xwk clarification order who missed on Friday and therapist came in on Sunday and saw them. The manager wants the patient seen 3x again this week. This all has to do with Medicare A or B patients. The facility is in Tenn and I don’t know if they have direct access in that state. The facility is not JCAHO. 1. Does CMS define a week or does they expect a written policy 2. Would seeing this patient Sun/Mon/Wed/Fri for this week be a problem if the work week policy is not defined by written policy 3. Finally, if a patient is seen late week… that facility tends to write order for 3xwk/5xwk and assume their normal operations are M-F and the first week is a given for not completing the full order. Has anyone had actual problems with this from CMS review. I know some agencies write orders as “1 week 1, 3 week 4” to handle the first week but has anyone actually had problems with CMS by assuming the first week will be short. Steve Passmore PT CEO Healthy Recruiting Tools HYPERLINK " mailto:spass@... " spass@... HYPERLINK " http://www.healthyrecruiting.com/ " www.HealthyRecruiting.com " What we did for you yesterday is history.... What can we do for you today " No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.516 / Virus Database: 269.21.6/1315 - Release Date: 03/06/2008 9:07 AM Quote Link to comment Share on other sites More sharing options...
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