In agreement w/Denise, understand that I know everything everyone is telling me.  That is not the question.  There was supposed to have been a change to Tube Feeders not being skilled that was published in one of the monthly newsletters sometime around August.  Actually in a CMS Newsletter.  Now we know that they have been making changes and not getting the word out well, ie August changes that were only found by one of our members, also the new ABN form that's to start either this fall or next spring (who knows for sure).  That's all I'm asking for is the source document.

thanks...cher

[EMAIL PROTECTED] wrote:
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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