Nancy,
I'm afraid your question is not really clear to me.  If the resident is a recent admission to your facility and has been at home for at least 60 days without an admission to a hospital or another SNF, then he would not be considered at the Medicare skilled level, so would have his full 100 days of Medicare benefit available to him should he be hospitalized for 3 days.
If, he was admitted to your facility as above and then went to the hospital for at least 3 days and returned , then using his full 100 days, he would remain at a skilled level of care while he continues to receive daily trach care at your facility.
I thought I understood you until you said he was respite stay only.  If he has not had a recent hospitalization , and came from home, he would not be considered Skilled, although receiving skilled services from the nursing staff.


----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 5, 2004 12:07 PM
To: [EMAIL PROTECTED]
Subject: trach skilled egibility question

Hello to everyone and Happy Healthy and Safe New Year,
    I have a question :  When a resident has a trach that is not managed by the resident and requires suctioning , trach care , and constant o2 mist tx by nrsg , therefore ,this resident is  getting skilled services .
    What happens though , if the resident came from home with no recent ( within 30 days) of hospitilzation service and now goes to the hospital and used all 100 days of snf mcr this resident is at what level of care ? skilled right?  HOpe this is clear!
    nancy
PS. this resident is respite
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