The question for the day, lol. I have a resident that came back in after a 90 day hospital stay, has been in and about about a dozen times. He has had a PEG for a while, not sure how long. He was medicaid on his last admission. His HIQA shows 10 days left. Since I've been back in the MDS world I've heard that having 26% or more of your caloric intake from a G tube doesn't automatically disqualify you from recieveing another 100 days of Medicare coverage for another skilled need anymore. Is this true?
I've got a call in to our medicare guru, but haven't heard back from her yet. And if it is still like it was 5 years ago (that G tube residents can never be skilled medicare again) how come this residents HIQA is showing 10 days? Any ideas?
Oh, BTW, this resident does have a new skilled need, unrelated to the tube feeding. He is going to be recievieng IV ABTs x 30 days.