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]
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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
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/----------------------------------------------------------
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
-----------------------------------------------------------/

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