Title: Message
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
 
-----Original Message-----
From: Michelle Witges [mailto:[EMAIL PROTECTED]
Sent: Tuesday, April 20, 2004 3:53 PM
To: [EMAIL PROTECTED]
Subject: skilling for old peg tube

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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Thank You.
 
Michelle Witges

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