agreed. There just needs to be a break of sixty consecutive days after one period ends in order to start another. For example, we skilled a resident for 100 days. He then went four months with no skilled services. After that he had a stage IV stasis ulcer that did not resolve. After he went to the hospital for an amputation, he returned to us (after a 3 night stay) and used another benefit period. Although the wellness period was not immediately prior, he DID have a break in skilled services.


From: "Jamie Morris, RN" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: <[EMAIL PROTECTED]>
Subject: Re: Date: Wed, 25 Feb 2004 09:44:00 -0600

Is this the way everyone understands this? The 60 days wellness period does not have to be the 60 days prior to the 3 day qualifying stay?
----- Original Message -----
From: Debbie Nichols
To: [EMAIL PROTECTED]
Sent: Tuesday, February 24, 2004 6:53 PM
Subject: Re:



She would qualify for MCR if she had a 60 day break prior to the IV's. The 60 day break does not have to be immediately before the hospital stay. It sounds like she had a 60 day break so just because she had IV's before going to the hospital does not mean she couldn't have a new benefit period.
D Nichols RN RAC-C
----- Original Message -----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, February 24, 2004 6:37 PM
Subject: Re:



I agree with you that she does not meet the criteria for Medicare because of the IV prior to hospital admission
MaryEtta RAC-C

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