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Faye,
That's my feeling as well. It would also depend on
what sort of treatments continued. If there were daily dressing changes and/or
monitoring of the area, pressure relief surface, nutritional treatments and
assessment, etc, then I would most likely continue the Med A. Realize, of
course, that the resident may not qualify in the top 26 RUG categories.
But my former facility's corporate Medicare hotline encouraged/instructed us to
continue coverage in this situation, and I do so in my current facility as
well.
Holly
----- Original Message -----
Sent: Monday, December 01, 2003 8:02
AM
Subject: RE: healing pressure ulcer
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.
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