If the resident continued to receive skilled services after she exhausted her Medicare days (tube feeding with at least 51% of calories through the tube or at least 26% of calories and 501 cc per day through the tube), she would not have had a break in the spell of illness (skilled services). She would NOT be able to qualify for a new benefit period no matter what the reason for hospitalization.
-----Original Message----- From: Julie Thomas <[EMAIL PROTECTED]> Sent: Apr 27, 2004 8:04 AM To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]> Subject: Spell of illness-Rena, please respond. If a patient is admitted for skilled services for feeding tube and exhausts all Medicare days...goes on Medicaid...next year goes to hospital...comes out with continued feeding tube....can she be skilled? Does the hospitalization have to pertain to the feeding tube? Julie Thomas, RN BSN Quality/Clinical Coordinator KB Enterprises 254-445-2517 ext.16 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. --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.620 / Virus Database: 399 - Release Date: 3/11/04 /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
