Comment r/t dialysis-although it is true
that dialysis in itself may not be sufficient to document daily skilled care I
would certainly initially pick up. MY experience here is that most of the
dialysis patients we get here have a myriad of conditions/diagnosis etc that are
relatively unstable, see the MD regularly at dialysis and have frequent
order changes creating a situation of ongoing eligibility for Part A.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of carol
maher
Sent: Friday, November 14, 2003
10:40 PM
To: [EMAIL PROTECTED]
Subject: Re: That UTI question
again and another about skilled level for dialysis...
To code as a UTI on the MDS , you
need :
As for your dialysis patient
who is new to Medicare, they would qualify for Medicare A after a 3-day
qualifying hospital stay if they had a daily skilled need. Dialysis is
usually not daily, so does not meet that requirement. The wound might,
depends on the wound and the treatment.
----- Original Message -----
Sent: Thursday,
November 13, 2003 7:56 AM
Subject: That UTI
question again and another about skilled level for dialysis...
First question is about UTI. (For some reason I
am not processing at all today.) Resident has positive culture, not being
treated for UTI. Can we still count it on the MDS? I have read the
RAI, checked the updates and still cannot decipher.
Second resident was Medical Assistance, sent out to
dialysis 3 times per week. Stable with dialysis. Resident gets
enrolled in Medicare, is hospitalized for a qualifying period, comes back with
skilled need (open areas) and will resume dialysis. Is it OK to skill him
for Medicare - I did not know if technically he had a 60-break since he was
dialysis before his Medicare enrollment but I also did not think that would
have put him at a skilled level (dialysis was not done here and it was not
daily).
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