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I am trying to find out some
information regarding g-tubes and Medicare. I was taught that if you have skilled a resident 100
days for a g-tube, but later on they start eating and are no longer receiving
feedings through the tube, (only flushes) that because they fall below that
skilled criteria of receiving 26% or more feedings through the tube, that they
qualify to regenerate their 100 days on Medicare. Does anyone know the
guidelines on this? Also I have a question about
skilling those that come back from a 3 day psych stay. If they are going to fall below the
upper 26 RUGS can they be skilled on Medicare even through day 8? The AANAC course I took stated
that the presumption of coverage through day 8 is only for those who will have
RUGS in the upper 26. Does anyone have any info on this as
well? |
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