Re: Tubefeeders

[carol maher]

This is the same situation as the tube feeder.  If the stage 4 continues with daily treatments, then the resident continues to be at a skilled level of care.  The skilled care did not end with the end of the payment from Medicare (100 days).  The facility continues to provide the skilled care for the ulcer, so the resident continues to receive skilled care.  If the ulcer does heal, or the treatment is not required daily, then the facility must send in a bill to the FI that shows that skilled services ended.  That is when the count for the 60 day break in skilled services begins.  The bill at the end of the 100 days should show that skilled services continued  but there is no payment received from Medicare.  It would be highly suspicious to most everyone, if the skilled services magically ended when the 100 days were up.  Possible, but suspicious.


-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Nov 26, 2003 7:53 AM
To: [EMAIL PROTECTED]
Subject: Re: Tubefeeders

Just a question, so please don't bite my head off >GRIN< As if this bunch would.

Thank you in advance for your replies?

 

If you have a resident on Medicare Part A with a Stage IV decub that you can't seem to heal and they used their entire 100 day benefit period. Would you put them back on Medicare Part A if after 70 days from being discharged from Medicare Part A the doctor put the resident in the hospital to repair the same Stage IV decub with a flap and kept them in the hospital for at least 3 midnight's?

Would this be the same as the resident being fed via the tube?

 

ask Sherry Kennedy to show you where the SNF manual was changed, regarding ending a benefit period. 

I agree with Holly on this one. In ALL my training from the FI, once a resident reaches a skilled level and stays at a skilled level exhausting all Part A benefits, there are no more Part A days. Part B may be different, but Not Part A.

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