I realize that the trainers often give incorrect information, that's why I requested clarification. I definitely would NOT proceed with any changes based on that slide presentation alone.
MDS Lady <[EMAIL PROTECTED]> wrote:
MDS Lady <[EMAIL PROTECTED]> wrote:
Wait for the documentation....I was at an AdminaStar Federal training where they explained that the assessment 'had to be completed' on the ARD date, had to be "locked" 7 days after completion (this was WAY after the automation requirements for corrections)...among other errors as well.Often the traniners don't know as much about Medicare as the attendees....sad but true.
Cindy Gilmer <[EMAIL PROTECTED]> wrote:Cheryl,Getting back to your original question:I attended a Medicare Billing seminar by Adminastar Federal (Intermediary for Indiana and others) on 08/12/2003. During a slide presentation, of which I have a copy, the gentlement stated that " Break in spell occurs if: 1. Facility-free for 60 days or in noncertified bed (billed as non-resident) 2. Non-skilled level of care for 60 days.". Most of the room went WHAT???? This statement obviously has HUGE implications for those Nursing Facilities that maintain a distinct part as Medicare certified and do not have all their beds dually certified. I did make a request for more official documentation and clarification but, of course, have never received anything.According to the above, anyone who was a tube feed and was moved out of the distinct part into a non certified bed would start a new benefit period after 60 days in that noncertified bed and could then again, presumably, be skilled for another 100 days for the tube or any other diagnosis following another qualifying hospital stay.Cindy Gilmer
C Hannant <[EMAIL PROTECTED]> wrote: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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