Yes, since he was at home, he was not considered to be receiving daily skilled services in a hospital or SNF.  So, if he truly did not use any of his days, he would have the full 100 days to use now.  Once his hundred days are up, he will continued to be at a skilled level so will never requalify for another 100 days assuming he continues to be totally tube fed by staff. 


-----Original Message-----
From: MDSNancy <[EMAIL PROTECTED]>
Sent: Feb 24, 2004 7:39 AM
To: [EMAIL PROTECTED]
Subject: peg tube - 100 days? help!

I have a resident who was admitted Medicare A following hospital for aspiration pneumonia (he had been living at home prior).  He has had a peg tube since 2000.  He went home after it was inserted, he did not use any medicare days for this (so I'm told).  His wife has been caring for him at home.  She changes the peg tube herself.   Now he is here.   All therapies will be d/c'd by this Friday.  My question ( and his wife's!)  can we skill him the whole 100 days for the peg tube now?   He is NPO, getting everything through the tube.   Speech was dc'd because he is an aspiration risk and will no longer be getting anything by mouth.   Can we use the 100 days??  
Thanks, Nancy


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