It would depend if the decline and the need for therapy MEETS the Medicare Part A criteria. Part B therapy may not be at the level that met Medicare Part A criteria- if it did not, then the resident would have a new benefit period.
--- Corey <[EMAIL PROTECTED]> wrote: > Sorry, I misread the initial. Since she was > receiving skilled services in October, even though > paid for by Part B, she would need a 60 day period > from the day after her last day of therapy, before > you could re-skill after a 3 day hospital stay. > ----- Original Message ----- > From: C G > To: [EMAIL PROTECTED] > Sent: Thursday, December 04, 2003 5:22 PM > Subject: Medicare B vs. Medicare A > > > Hello, i just need someones direction for me to > understand it right..... and maybe needs supporting > documentation too. > ..... Resident has Medicare Part A from May > 28-July 11...then in October 2003, Therapy pick her > up on Medicare B, due to decline.... then in Nov. > 17, 2003, she went to Hosp. until 11/25/03.... > Does she qualify for another 100 days on Medicare > Part A? I thought she doesn't due to the fact that > she received Therapy in October 2003 and that consi- > dered skilled (no matter what the pay source is) > and no 60 days gap (wellness period). > Am I wrong with my interpretations with the > guidelines? Pls. help me to clarify this. thank > you... Happy Holidays... > > > ------------------------------------------------------------------------------ > Do you Yahoo!? > Free Pop-Up Blocker - Get it now ===== Marie A. King, RN-CS,Cm,CNS,MSN, RAC-C, NHA King & Associates, Inc 2007 Old Montgomery Hwy, Ste.B Birmingham, AL 35244-2079 (205)988-4222<vbr>FAX (205)988-4101 __________________________________ Do you Yahoo!? Free Pop-Up Blocker - Get it now http://companion.yahoo.com/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
