RE: wounds for skilled coverage

[Faye Jones]

I would be interested on seeing a few opinions on this.  Personally I do not cut them from Medicare until the skin is closed.  I take the “is a healing stage 3” approach which I feel is appropriate and I would defend if necessary.  These areas even though healing are not normal tissue with normal vascularization and are subject to complications/recurrence even after totally healed.  Our skin care team is involved right up to the very end etc.    Faye Jones, RN St. Regis Nursing Home 89 Grove Street Massena, NY 13662 Phone: (315)769-2494 Fax: (315)769-3604 Email: [EMAIL PROTECTED]   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Michelle Witges Sent: Tuesday, May 11, 2004 3:54 PM To: [EMAIL PROTECTED] Subject: wounds for skilled coverage   If a resident has a stage III ulcer to coccyx and this is his skilled coverage, when the wound heals to a stage II, will he need to be d/c'd from Medicare?  This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible.  If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer.   Thank You.   Michelle Witges