Re: Wound care coverage under medicare

[RRS2000]

I would just caution that the wound care still must rise to the level of a daily skilled service.  The code of federal regulations specifies, in part, that to be considered skilled services, they must be services that:

(1) Are ordered by a physician;
(2) Require the skills of technical or
professional personnel such as registered
nurses, licensed practical (vocational)
nurses, physical therapists, occupational
therapists, and speech pathologists
or audiologists; and
(3) Are furnished directly by, or
under the supervision of, such personnel.

Rena

Subj: RE: Wound care coverage under medicare
Date: 11/7/03 5:30:35 AM Pacific Standard Time
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  Even if this is not a pressure sore as indicated below, it may still be covered.  With the special care rugs, it may be a surgical wound or open lesion with >/= 1 treatment coded under M5f, M5g, M5h.  I would certainly use it as a skilling service with all that is going on with the wound.

 

Brenda W. Chance, RN, RAC-C

MDS Coordinator

 



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-----Original Message-----
From: Corey [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 06, 2003 8:27 PM
To: [EMAIL PROTECTED]
Subject: Re: Wound care coverage under medicare

 

If it's a 3 or 4, yes.  If stage 2, must be multiple, or need some other reason.

----- Original Message -----


From: Felix, Rosalie


To: [EMAIL PROTECTED]


Sent: Thursday, November 06, 2003 8:19 PM


Subject: Wound care coverage under medicare


 


Hi everyone,


   I just wanted to ask the group if I can cover ano of our patient who will be dc'd from skilled rehab but will continue to cover him for wound care.  Patient was admitted to the hospital d/t MRSA of wound which I&D was done.  Now, he's clear of MRSA but still on p.o antibiotic for wound infection and we still do daily wound care.  Can I continue to cover him under part A? co'z our billing manager stated that we can cover him too under part b.  Your help and input is much appreciated.  Thanks.   Rosalie

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
"Setting the Standard for SNF MDS/PPS Education"
858-592-6799
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