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!
