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If they stay in a facility at a skilled level of
care then they DO NOT regain their 100 days. If they are tube fed 100% and
do not have any oral intake then they will not get their days back. Hope
this answers your question.
Michelle
----- Original Message -----
Sent: Tuesday, November 25, 2003 8:13
AM
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:
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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