Even if she did have skilled care before she left for the hospital, as long as she has some of her 100 Medicare days available and had a 3 day qualifying hospital stay , she can be covered on Medicare A as long as she has a daily skilled need. If she had something that would place her in the top 26 RUGS groups on her 5-day PPS assessment , she can at least get the presumption of Medicare coverage through the assessment reference date of the 5-day assessment. ----- Original Message ----- From: "Lorraine Schwartz" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, February 23, 2004 4:26 PM
> A resident has been in my facility for years, on medicaid. recentlyshe > became ill, and was placed on IV therapy for a few days before going to the > hospital. she did have a 3 day stay there. my question is- once she > returned, do I put her on Med A? I am thinking no since she had skilled care > the last few days before she left our facility, therefore does not meet the > 60 days of unskilled care criterial. > Please advise and thanks! > > _________________________________________________________________ > Click, drag and drop. My MSN is the simple way to design your homepage. > http://click.atdmt.com/AVE/go/onm00200364ave/direct/01/ > > /---------------------------------------------------------- > 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 -----------------------------------------------------------/
