Cher,
I hasn’t changed. There have been no new
policies from medicare changing this. This may be coming down the turn pike in
the next couple of years (even though I wouldn’t hold my breath), but the
skilling guidelines have not changed.
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original
Message-----
From: C Hannant [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 25, 2003
7:54 PM
To: [EMAIL PROTECTED]
Subject: Re: Tubefeeders
I understand that and
have always taught that. However, Sherry Kennedy in TX and the BC/BS FL
intermediary training this spring and fall said that this has changed. I
am just looking for it in writing.
Thanks...cher
Holly Sox, RN, RAC-C wrote:
No, No, No!
If the resident remains at Medicare skilled level of care, receiving skilled
services, then the benefit period does not end. Ever.
----- Original
Message -----
Sent: Tuesday,
November 25, 2003 9:13 AM
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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