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
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-----Original
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From:
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Sent: Tuesday, February 24,
2004 3:09 AM
To:
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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!
