Actual the snf manual mentions remaining at a skilled level of care.It doesn't say
gtubes.Remaining at a skilled level of care can be in other circumstances also.Had a
diabetic,who had a fx hip and multiple other medical issues.Developed stage 4 decub on
heel,stayed 100 days on med A between about 4 hospitilizations.Just went to surgeon
and had a flap done.She has remained in our facility through out all this.We denied
her med A again because of her stage 4, she never had a 60 day spell of wellness.Have
had a few very unstable insulin diabetics who have used 100 days,went into hospital
again but again we felt we couldn't find a 60 day spell of wellness.What I have done
when a patient has used 100 days[of course this happens very seldom]I look back into
their records monthly and let the business office know when they can start counting
the 60 days.
/----------------------------------------------------------
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
-----------------------------------------------------------/
