Title: Message
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You are right; you can not skill her because
no break in spell of illness. She has been receiving skilled service for
years for the peg tube regardless of never billing under med A. Unless if
she stops the PEG feeds for 60 days or she d/c to a non-nursing care facility,
she will never regenerate her 100 days. This was a big question for
me at the AANAC conference and this was the conclusion, so I feel pretty
confident in this advice.
monica
I have a situation regarding a resident. We admitted her from home
in 2000 to a non Medicare A bed. At time of admission she had a PEG tube
and eating oral diet. The amount of tube feeding did not meet skilled
criteria. She was supposed to be a respite stay for 2 weeks but ended up
staying. Anyway, she ended up with tube feeding for 100%
nutrition. She has been in facility since 2000 with no hospital
stay. She currently was d/c'd to hospital for pneumonia. My DON
thinks that we would be able to skill her for tube feeding as she never used
her Med A days after first inserted. I am inclined to think no since she
has not had a 60 break in spell of illness. What is right?
Thanks
Michelle
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Michelle Witges Please NOTE: This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not distribute, copy or use this e-mail in any way. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. If verification is required please request a hard-copy version. Pittsburgh Mercy Health System, 1400 Locust Street, Pittsburgh, PA 15219 Attn: Chief Information Officer
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