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I agree, It sounds like she DID have a 60 day
wellness period. Just because she had an IV prior to going to the hospital
does not mean you can't skill her under part A. From her last MCR stay she
needed to have a 60 day break and it sounds like since she has been there for so
long then she did have a break. She should start a new benefit period when
she returns from the hospital.
D Nichols RN,RAC-C
----- Original Message -----
Sent: Tuesday, February 24, 2004 10:34
AM
Subject: Re:
BUT,
If she had 60 consecutive days of
"wellness" PRIOR to the IV insertion, would she not have ended the prior
benefit period? Then, the 3 night qualifying stay would begin a new
benefit period. I didn't see anything indicating she had not ended a
previous benefit period.
HS
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Tuesday, February 24, 2004 11:38
AM
Subject: RE:
You count wellness periods from one covered stay to the next
(your count
starts at the end of one benefit period and goes through to
the next
hospitalization). Any skilling service during that time
frames
interrupts the wellness period so your 60 days of wellness would
have
ended when you started the IV's in the facility. If this had
not been
done and she had been admitted to the hospital, then she would
have
qualified for a new benefit period.
Brenda W. Chance, RN,
RAC-C
MDS Coordinator
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-----Original Message-----
From: Carol O'Brien
[mailto:[EMAIL PROTECTED]
Sent: Tuesday, February 24,
2004 8:47 AM
To: [EMAIL PROTECTED]
Subject: RE:
Why
wouldn't she have a wellness period prior to the IV
insertion?
>From: "Brenda Chance" <[EMAIL PROTECTED]>
>Reply-To:
[EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: RE:
Date: Tue, 24 Feb 2004 08:48:12 -0500
>
>You are correct.
She will not meet the 60 day wellness related to her
>having been
given IV's prior to hospital admit.
>
>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: Lorraine Schwartz
[mailto:[EMAIL PROTECTED]
>Sent: Monday, February 23, 2004 7:27
PM
>To: [EMAIL PROTECTED]
>Subject:
>
>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/
>
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> For more info
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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
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> For more info
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_________________________________________________________________
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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
-----------------------------------------------------------/
/----------------------------------------------------------
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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