Word to the wise: Skilled nursing coverage documentation

Jun 07, 2019
The Bottom Line

The following words/phrases may make MACs or other review agencies scrutinize the need for skilled coverage. These are words that may make skilled services difficult to support:

• No change in status

• Ongoing, continues to be

• Same as, remains

• Little change

• Normal

• Voiced no complaints

• Appears

• Test results

• Essentially unchanged

• Status quo

• Fair/poor rehab potential

• Maintaining, status unchanged, approaching a maintenance level

• Patient refuses treatment every day

• Not motivated, low motivation

• Noncompliant with plan of care

• Unable to retain instruction or information

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