Yes, that is correct, but that is not the question I was asking. If
they stay in the facility as a full tube feeder, nothing by mouth, I am
being told by 2 facilities who went to Medicare Workshops that these
people can be re-skilled agin after they meet all the other criteria.
That's what I am wanting in writing. No one seems to have answered
that question yet.
Thanks...Cher
Callie Larson wrote:
You are correct. The following is the answer posted on the
AANAC FAQ list on the website regarading this issue:
A. The period of time the beneficiary was receiving the tube
feeding at home does not constitute a skilled level of care for SNF
Part A purposes, even if she received skilled home health services
under Medicare. Only skilled level of care received in a SNF or a
hospital prolong the benefit period. So, if she was at home for 60
days, then she did have the 60-day break in skilled services and would
earn a whole new 100-day SNF benefit after a qualifying 3-day hospital
stay.
This is from the Medicare SNF Manual (Pub 12), Section 240:
I
always thought that if a person went home on tubefeedings they were at
a nonskilled level of care.Anytime the patient goes home the 60 day
clock starts.
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
Caroline Larson, RN, MS, RAC-C
MDS/PRI Coordinator
Fairport Baptist Homes, Fairport, NY 14450
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