After 30 days, and prior to 60 days, if the resident again has a qualifying hospital stay they can use the remaining days from the current benefit period.
I don't know that is is 'written in stone' any where. You take the all the sections on the benefit period and look at them together. Perhaps Rena or someone can give you an exact reference.
Cindy Kimpe <[EMAIL PROTECTED]> wrote:
Beyond any exceptions they have to be picked up within 30 days. However, there are exceptions and they are explicit, see "Medicare Benefit Policy Manual", Chapter 8, starting at 20.2 "Thirty-Day Transfer".
>>> [EMAIL PROTECTED] 03/11/04 12:16AM >>>
I have a resident who just returned from 3 day qualifying hospital stay. She has passed the 30 days where I could have picked her up again had she had a decline in condition and needed further skilling. She has not had a 60 day period of wellness. Can I skill her and use the remaining 38 days that she had under her initial 100 days. Part of my MDS team is saying yes, once she starts her initial 100 days, if she has another 3 day hospital stay then she can use up whatever she didn't use before she was d/c'd to LTC. The other part is saying that it's a shame but if she has passed the 30 days but has not a 60 day period of wellness then she can't continue to use up the remainder of the 100 days she didn't use before.
Also, when you reply please tell me where I can find this in writing. One half of MDS team is going to want me to "prove it" Thanks.
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The Case Mix Discussion Group is a free service of the
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