Q&A with Regulatory Specialist Diane Brown
MDS 3.0 Update, August 24, 2009
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Q: I have a question regarding the 60-day spell of wellness and Medicare. We are admitting a patient today that used 100 days of Medicare skilled days earlier this year at a SNF. He went home from the SNF and stayed for 58 days. Then he went to the hospital and was put in an observation bed for 2 days, being admitted on day 3. I am being told that he is eligible for a new 100 days of skilled benefits because he was not admitted to the hospital until day 61. However, I feel that the spell of wellness ended when he was brought to the hospital for an acute episode. Additionally, I thought that observation time was converted to inpatient days if later admitted, as in this case. Can you please clarify this for me?
To read Regulatory Specialist Diane Brown's response, visit MDSCentral.
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