Medicare Meeting Report - Digital Form

Updated form 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.

*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.  To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.

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