If there is no new diagnoses or change in POC, it may be a challenge. Therapy?
> -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] > Sent: Friday, December 19, 2003 12:59 PM > To: [EMAIL PROTECTED] > Subject: > > Hi, > > I have a question about Medicare coverage. Some time ago, Medicare sent > out a letter to facilities that clarified coverage for intermittent caths. > It was a covered skilled service if provided daily and there was adequate > documentation in the chart re: need, etc.. We covered a resident for qid > intermittent caths, as well as other needs. He used his 100 days. He was > transferred out of the Medicare section and got better but still required > intermittent caths qid. Now he is in the hospital and has had his 3 day > qualifying stay. My question is, since he still required intermittent > cath and remained in a skilled facilitu, is he entitled to another benefit > period? He just had a quarterly MDS completed before his hosp admission > and we put it thru the grouper and it indicated a PD2 RUGs level. > > Thanks, > Laurie
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