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Thank you for putting that decision tree out.
D Nichols RN RAC-C
----- Original Message -----
Sent: Wednesday, February 25, 2004 11:01
AM
Subject: RE:
The 60 days of
wellness is from the last day of Medicare coverage. The benefit period
ends with the close of a period of 60 consecutive days during which
the patient was neither an inpatient of a hospital nor an inpatient of an SNF
receiving skilled services. To determine the 60-consecutive-day period,
begin counting with the day on which the individual was discharged. I'm
attaching the Spell of Illness
(Benefit Period) Decision Tree. It's a very helpful aide to keep
handy.
Winona Phelps,
RN
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 -----
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 -----
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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