Re: Using Medicare days for an old peg tube

[carol maher]

An important question to answer is :  Did the resident have 60 consecutive days when he was not admitted to the hospital or to a Skilled unit in a SNF?  IF the resident was at home for a year , even if using the tube then, he would requalify for coverage if he indeed had a 60 day period of wellness.   If he has more days available, you could cover him the entire time for the tube since he would have had the tube feeding in the hospital.  (Assuming percentages and amounts are met).  Once you cover him for 100 days, he will never qualify for a new 100 days unless he again goes home for more than 60 days or falls below the required amount of fluid via tube and percentages. ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, April 19, 2004 7:29 AM Subject: Using Medicare days for an old peg tube We have a resident who is about to end with rehab. I'm not sure if I can keep him under medicare part A for his peg tube. It was put in about a year ago according to the resident. He was then admitted to another local nursing home for six months where I'm sure he used his 100 days for the peg. He was then discharged to home app. last May. He took care of himself & the peg at home. He was recently admitted to our local hospital for 3 days for exacerbated COPD & Pneumonia & then discharged to our nursing home for rehab (he also has cancer of head & neck). The COPD & Pneumonia are resolved. He has decided to stay here permanently due to weakness from the cancer. We are giving him the tubefeeding everyday. Can we continue to skill him for the peg even though he has been skilled for the peg before AND the peg was in no way the reason for his hospitalization? Please, help. Thanks, Carole