Title: Citrus Punch
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To the best of my knowledge, he would have no medicare days
available, becaise at time he left, he was receiving skilled therapy, provided
by a skilled therapist (just as the tube fed patient was receiving a skilled
service) 5 days a week, which is the standard for the medicare Part A
patient. Your pt. receiving 5 days a week of therapy, rather than 3
days a week, would need to have a 60 day period of no skilled services to earn
another Medicare benefit period.
----- Original Message -----
Sent: Monday, February 16, 2004 3:52
PM
Subject: wellness period- PLEASE
HELP....
Does anyone have a reference to the specific place in a
manual where it says ther. 5x/week interferes with a wellness period? We
are having this discussion at my facility & we have different
info./opinions on this. Therapy would like to have "written proof" that
a Part B resident on therapy 5x/week is in a skilled stay. We agree that
a tube feeder is in a skilled stay even under part B, but we are not agreeing
about the therapy.
We have a part B resident that fell & began receiving PT
5x/week for ambulation..... I believe this interrupted his "period of
wellness"... is this correct? If he went out to the hospital & had a
3 day qualifying stay, when he returned, how much MCR would he have? How
would I know?
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