Re: Regenerate Medicare days

[Guest guest]

Hello!

I need help regarding the situation below.

Example:

An 87 year old male patient was admitted to SNF as medicare.

> march 13, 2011 - exhausted medicare days

> april 19, 2011 - patient went to acute hospital for declogging of shunt, came

back to SNF the same day.

> may 28, 2011 - patient went to hospital for four days...

My question is, does this patient regenerates his medicare days when readmitted

to SNF?

I appreciate all your help

Respectfully yours,

May Almario

PT staff-california

[Guest guest]

Hello!

I need help regarding the situation below.

Example:

An 87 year old male patient was admitted to SNF as medicare.

> march 13, 2011 - exhausted medicare days

> april 19, 2011 - patient went to acute hospital for declogging of shunt, came

back to SNF the same day.

> may 28, 2011 - patient went to hospital for four days...

My question is, does this patient regenerates his medicare days when readmitted

to SNF?

I appreciate all your help

Respectfully yours,

May Almario

PT staff-california

[Guest guest]

A new opportunity to receive SNF Medicare A payments occurs when the patient has

had 60 days without any skilled therapy or nursing interventions (no matter who

is paying for it or where it happens) and when he/she meets the other criteria

for Med A (3 night hospital admission- NOT on " observation " ; skilled therapy or

nursing need; skilled services reasonable & necessary- and appropriate to the

diagnosis... This is a big problem for someone who receives more than 25% of

their nutrition through a feeding tube, for example, as this is a skilled

nursing intervention and precludes the 60 day period without skilled services...

Receiveing Med B PT would also stall the 60 day process...

Melinda Nygren Pierce, PT, MS

Director of Rehabilitation

Presbyterian Homes

3200 Grant Street

ton, IL 60201

phone:

fax:

" Working to encourage older

adults to experience fullness

of life in community with dignity,

joy and the maximum level of

independence their health will allow. "

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