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If your resident had never had SNF placement, he
would have never used any of his 100 days. This is a very different
scenario than we usually discuss. Residents who have been in a SNF
receiving skilled care and then go home or to a lower level of care must have a
60 day break in skilled services before they qualify for a new 100 day benefit
period. And, yes, one day's admission to the hospital breaks that 60 day
period of wellness.
Since your resident has never been in a SNF before,
he would have all 100 days available.
----- Original Message -----
Sent: Sunday, April 04, 2004 5:53
PM
Subject: hosp breaks 60 day
wellness
hello all,
do i understand this right. any
hosp admission, even for 24 hours,will break wellness period. all hosp admits
are considered skilled care? now does that include psych?
302's?
consider this....
a person in community, never had SNF placement
before
age 56
hospitalized (admitted for 48 hours) 45 days prior to SNF
placement
has disability medicare A&B
has subsequent 5 day hosp
stay
hosp seeking SNF placement due to need of skilled care
admitted to
your facility
unable to use medicare benefit because 60 day wellness
period was not satisfied
is this correct? i would
appreciate any responses.
[EMAIL PROTECTED]
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