RE: healing pressure ulcer

[Faye Jones]

I would clarify with FI myself.  In the world of skin care one does not down grade a decubitus.  Once a stage 4 always a stage 4.  Even though it heals it is not normal tissue, is at high risk for recurrence/complications and is considered a “hot spot” requiring ongoing high risk prevention.  We do down grade on the MDS because of its many purposes and we want to show improvement but that is not current theory.  They may continue to pay until healed. I know that when a decubitus qualifies for MED B reimbursement of wound care supplies, they pay until it is healed.      -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Saturday, November 29, 2003 7:08 PM To: [EMAIL PROTECTED] Subject: healing pressure ulcer   We admitted a patient with a stage 4 pressure ulcer but now his ulcer is stage 2, can we still keep this patient skilled since he only has one stage 2 ulcer? Thank you.