But she has never used her 100 days????
If she has never used them, if I am not wrong, she is entitled to a benefit
period. You must have a 60 day break at a nonskilled level between benefit
periods. If she has never used Medicare A, then won’t she get one? Rena,
are you out there?
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Joyce, Monica
[mailto:[EMAIL PROTECTED]
Sent: Tuesday, April 20, 2004 4:05
PM
To: '[EMAIL PROTECTED]'
Subject: RE: skilling for old peg
tube
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.
-----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
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