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Medicare Meeting Report

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$24.10
QuantityPrice
1 – 4$24.10
5 – 9$20.80
10 – 14$17.20
15 +$13.70
SKU: 1442
$24.10

Provides for documentation of key elements of skilled services and documentation reviewed during Medicare meetings. Updates correspond with the implementation of the PDPM reimbursement system.


Updated to track fourteen (14) residents on this two-sided form:

Primary diagnosis for skilled care (I0020B)

Current CMI classification

ARD of initial Medicare assessment

Medicare days used and days available

Skilled services provided: nursing, P.T., O.T., SLP

Interim Payment Assessment (IPA) indicated

Continue skilled care

Anticipated discharge date

Date beneficiary notice given

Skilled certification/recertifications complete and signed

Therapy certifications complete and signed

This form provides for six (6) signatures/titles of the Interdisciplinary Team (IDT) attending the meeting.


Download a sample today!

  • Size:  11” x 8 ½”
  • White paper, black ink printed 2-sides
  • 3-hole punched top (11” edge) 
  • 100 per pad

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