RE: SNF v/s hospice?

[Brenda Chance]

If this resident receives hospice, then I would say you cannot do Med Part A as well since the diagnosis will be related.   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] Sent: Tuesday, February 24, 2004 3:09 AM To: [EMAIL PROTECTED] Subject: SNF v/s hospice?   Here is a scenario:  A comatose pt. with stage IV decubitus, trach, peg & "IV" antibiotic was admitted to our unit primarily for wound care.  Pt. had EEG and showed no brain activity.  We had a family conference with MD present and the family decided to stop "IV" and tube feeding a week ago and a referral to hspice was made.  Our Social Worker decided that she felt so sorry for the family that she wants to keep the pt. on our floor until she dies.  Pt. hasn't had fluids & feeding for one week and she is still going strong. My question is: 1.  Can we keep her skilled for trach care and wound care bec. it's done daily? 2.  Is she considered hospice and not eligible for medicare payment? 3.  Should her level of care be lowered to ICF? Thank you all!