It certainly would seem that the requirement for a DAILY skilled service is not met under these circumstances, particularly since the wound is not visible for daily assessment.  My advice in this type of situation (there are many wound care products these days that present the same issue because the dressings are not changed daily) is to contact your FI and find out what their policy is with regard to coverage involving these modern wound care products.

Rena

Subj: wound vac
Date: 11/18/03 12:40:20 AM Pacific Standard Time
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We admit a lot of patients with wound vac to be changed every other day.  How can I skill this pt. for assessment and observation if the wound vac is covering the wound?
Dressing change is every other day NOT daily but the wound involves the whole lower arm due to necrotizing fasciitis?  No more IV antibiotic and no rehab either.
Thank you.



Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Healthcare Consultant

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