RE: Tubefeeders

[Brenda Chance]

If you skilled these residents under Part A for tube feeding for the 100 days and they stayed at your facility with the tube feeding, then they do not receive a new benefit period as the tube feedings would be skilled level of care.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: C Hannant [mailto:[EMAIL PROTECTED] Sent: Tuesday, November 25, 2003 9:13 AM To: [EMAIL PROTECTED] Subject: Re: Tubefeeders   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:   [EMAIL PROTECTED] wrote: 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 Do you Yahoo!? Free Pop-Up Blocker - Get it now