This is Noridian in ND- which services MN. the MN Medicare Revenue Enhancement Project was keying in getting this definition.
 
There are some SNF's in MN that do not follow this criteria
 
Several months ago I sent the supporting citation from the MREP website to the listserv- REMEMBER THIS IS NORIDIAN ONLY- I have not heard of any other FI's taking this interpretation
 
Theresa Lang
Specialized Medical Services, Inc.
Milwaukee WI- home is in MN
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Wednesday, April 07, 2004 2:13 PM
To: [EMAIL PROTECTED]
Subject: Re: To skill or not

If the FI paid for 100 days related to oxygen use and it still continues they have a basis for denial.  However, I have never been able to get any FI in CA to pay for oxygen use for 100 days.  I would love to see their medical review criteria on this.

What FI?  let's check it out

Delores

#1 - Yes the facility billed Medicare Part A for 100 days of skilled care r/t oxygen use.
#2 - I meant the Fiscal Intermediary.
#3 - Other that the Oxygen use, resident was not receiving any other skilled services.



Delores L. Galias, RN, RHIT

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