The SMC regs say if a vet is entitled to SAH, he is also entitled to corresponding SMC level, and vice versa. Loss of use lower extremities is an M level, I think.
My question is, if the loss of use alone qualifies vet for M level, would that mean this should be rerated starting with the M level, then adding another single SCD at 100%, other SCDs combined at 50% or more and A&A? Vet also has one K rating. If this can be reconsidered I believe vet's rating should be at N1/2 + K, which I think now qualifies the vet for the R1 rating if skilled care is ordered. (It is.)
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Guest Morgan
The SMC regs say if a vet is entitled to SAH, he is also entitled to corresponding SMC level, and vice versa. Loss of use lower extremities is an M level, I think.
My question is, if the loss of use alone qualifies vet for M level, would that mean this should be rerated starting with the M level, then adding another single SCD at 100%, other SCDs combined at 50% or more and A&A? Vet also has one K rating. If this can be reconsidered I believe vet's rating should be at N1/2 + K, which I think now qualifies the vet for the R1 rating if skilled care is ordered. (It is.)
Can anyone help me with this?
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