You need to have a break in serivce for 60 days. If for 60 days he was not coverable--meaning that he had no reason to be covered by Medicare, then he has had his break in service. If though he required Medicare skilled service for thos days, then he would not have a new benefit period. For example, a person dependent on G Tube feedings would not have a break in service. On the other hand, someone who fx their hip and required therapy--got better--remained at the facility at the intermediate level--not requiring a daily skilled service for 60 days would have a break in service. Simply remain at the care center does not have a bearing on whether he is entitled to a new benefit period.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Monday, February 23, 2004 3:28 PM To: [EMAIL PROTECTED] Subject: 60 DAYS WELLNESS? I have a icf resident that went to the hospital. Returned skilled. When I checked current working file he had used 79 prior days at another care facility prior to transfering here. He transfered here at icf level of care in a dually certified bed. The common working file states current days 80/20. My question is: he would not get a new 100 days if he has been in a care center the entire time as he has not had 60 days of wellness? right? Robert W Darr RNAC RAC-C Sunny View Care Center 410 NW Ash DR. Ankeny,IA 50021 Office: (515)964-1101 Fax: (515)965-1935 Home: (515) 462-9138 [EMAIL PROTECTED] [EMAIL PROTECTED] /---------------------------------------------------------- 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 -----------------------------------------------------------/
