Re: G-tube question for Rena

[RRS2000]

Since she no longer meets the requirements for skilled coverage for the g-tube feeding (51% or more enteral calories OR 26% to 50% enteral calories and 501 cc of enteral fluids per day), the facility is not providing a skilled level of care relative to the g-tube.  If you are not providing some other skilled service on a daily basis, she is no longer coverable under Part A and a denial should be issued if she will be remaining in your facility.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: G-tube question for Rena
Date: 3/15/04 5:02:44 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



Rena,
We have a resident admitted s/p G-tube placement. On admission she
received greater than 51% of calories, fluids and meds via G-tube,
Resident is on Medicare Part A,  she completed  PT/OT and ST, and NOW
consuming 100% of calories from meals PO and receiving 100cc of H2O
every 6 hrs and all medication via G-tube. The g-tube is to remain,
therefore she will not renew her 100 days. Can we exhuast her 100 days
as she is? Nursing providing flushes, meds and monitoring.  Thank you
Cathy Dale RN


Catherine Dale
CRNAC MDS Coordinator
Los Angeles Jewish Home for the Aging
18855 Victory Blvd.
Reseda, Ca  91335
(818)- 757-4468
[EMAIL PROTECTED]