Medicare
What is the maximum number a days a patient can be out of the hospital after a 3 consecutive day qualifying inpatient admission an still go to a SNF?
30 days
Per the Discharge Planning Policy, if a patient is admitted on Satuday, when would the initial assessment be due?
Within 1 business day of admission.
When would a Medicare Beneficiary not receive an important message from Medicare (MIM)?
1. Transfer to another acute care setting (LTACH, IPR, Psych, short-term acute hospital)
2. When they have exhausted their benefits
3. When the elect to discharge with hospice
4. Not admitted as an Inpatient
5. When they choose to leave AMA
This order set must be sent to the infusion provider to arrange home infusion services for a patient.
Therapy Plan Orders
In what year was Riverside founded?
1915 - we were known as Newport News General and Non-Sectarian Hospital Inc. It was a 50-bed hospital on Huntington Ave.
1960 - moved to our current location with 323 beds and now called Riverside Hospital
1988 - we are now Riverside Regional Medical Center
How many days at the SNF level of care are covered at 100%?
20
Per the Conditions of Participation and DC Planning Policy, who is permitted to complete a discharge planning evaluation and plan for a patient?
A registered nurse, social worker, or other appropriately qualified personnel.
Why do you need to make a copy of a telephonic MIM?
It needs to be sent via Certified Mail Return Receipt.
Patients can qualify for a Care Card if they DO NOT have which type of insurance?
Medicaid Products
Name all Riverside Health hospitals.
Riverside Regional Medical Center
Riverside Walter Reed Hospital
Riverside Shore Memorial Hospital
Riverside Doctor's Hospital Williamsburg
Riverside Smithfield Hospital
How many levels of appeal are there for Medicare Discharge Appeals?
5
The minimum documentation of discharge
plan must occur every____ for acute
care.
Every 4 days.
Hospitals must deliver the first copy of the MIM at or near admission, but no later than ____ calendar days following the date of the beneficiary's admission to the hospital.
2 calendar days
You receive an active duty service member to your unit. Who should you notify of admission?
Active Duty Case Manager at the respective branch of service
What is the name of the Riverside owned behavioral health center in Hampton?
Riverside Mental Health & Recovery Center
What is the maximum number of inpatient days that are covered in a benefit period for acute care services (i.e. hospitalization, LTAC, IPR) not utilizing their lifetime reserve days?
90
Hospitals must deliver a follow up copy of the MIM within what time frame?
Within 2 days of discharge but no later than 4 hours prior to discharge.
What 3 labs are required in order to be considered for an HD Chair through Davita?
Hep B Surface Antigen, Hep B Surface Antibody, Hep B Core Antibody - Total
What is the name of Riverside Health's current CEO?
Dr. Mike Dacey
A Medicare Beneficiary has appealed their discharge and filed a redetermination. The QIO agrees with termination of hospital services, but the patient states they plan to file a 3rd level appeal. Is the hospital obligated to keep the patient during a 3rd level appeal?
No.
Hospitals must disclose ownership of any post-acute agencies. Where can this disclosure be found?
Freedom of Choice Lists
If a patient was admitted on Monday, the MIM was delivered on Wednesday, and the patient is to discharge on Friday - does another copy of the MIM need to be provided?
No.
Do you continue to chart on patient's who are pending guardianship?
Yes - follow policy for documenting an update discharge plan every 4 days.
What hospital system does Riverside collaborate with to provide innovative care, research, and medical education?
UVA Health