Part A Skilled Nursing Facility Narrative for Self-Audit Checklist

Skilled Nursing Facility Narrative for Self-Audit Checklist 1. Certification – Signed and dated by the physician, clinical nurse specialist or nurse practitioner on admission, or as soon as is reasonable and practical. (Facility policy to dictate timing.) th2. Recertifications - The first recertification should be obtained by the 14 day and subsequent recertifications should be obtained no later than at 30 day intervals. Recertifications should be signed and dated by the physician, clinical nurse specialist or nurse practitioner. A reason for the recertification and any plans for discharge should be included (i.e. home care, long term care placement). Delayed Certification or Recertifications – Must be obtained if there has been an oversight or lapse. An explanation for the delay must be included and any medical or other evidence that is relevant for the explanation of the delay. A delayed certification and recertification may appear in one statement. The facility may determine the format and method it is obtained (CMS Pub. 100-01, Medicare General Information, Eligibility and Entitlement Manual, Ch. 4, “Delayed Certifications and Recertifications for Extended Care Services”, §40.5). 3. Therapy plans of treatment for all therapies involved including occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP). Include all plans of treatment to support each Minimum Data Set (MDS) Resource Utilization Group ...