If you provide part B services, the count does not necessarily start over. You would have to provide part b therapy at a skilled level, ie 5x wkly. If the resident only received therapy 3x wkly then she/he was not at a skilled therapy level, thereby legible for a new benefit period.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Thursday, December 04, 2003 3:57 PM To: [EMAIL PROTECTED] Subject: Re: Re: qualifying for MCA No he doesn't. According to Q&A in Briefings on Long-term care regulations, if you provide Part B therapy services to a resident then the 60-day break in skilled services count starts over. Davina DeMerritt, RN > > From: C Hannant <[EMAIL PROTECTED]> > Date: 2003/12/04 Thu PM 02:39:33 EST > To: [EMAIL PROTECTED] > Subject: Re: qualifying for MCA > > This is a great question. I had this same issue come up this week. My > feeling is that he should get his coverage again, but it really is only > a guess. I decided that on the fact that when PT picked him up 5x/wk > (d/t caps), he did not meet the other requirements of 3 day hospital stay. > > What do the experts say. > cher > > Goche, Ann wrote: > > > Facts: > > > > > > > > Mr. S was admitted to SNF on 2/22/03 on MCA. Last covered MCA was 3/3/03. > > > > Out to the hospital (OTH) on 11/10/03 with Fx hip repair. > > > > Returned from hospital on 11/16/03 and needed PT 5x week. > > > > Prior to going OTH, he received Part B 5x week OT...9/5/03 to 9/15/03 > > > > > > > > Question: > > > > Does the Part B skilled services prevent the beginning of a > > New Part A benefit period? > > > > > > > > Thanks, > > > > Ann > > > > > > > > /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
