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All thoughts & opinions will be appreciated. Scenario....Resident arrives MVA ins. His secondary ins. is Med A as he is over 65. We think he may or may not have met his cap for insurance while in the hosp. How can I RUG him to capture his stay while in SNF? Many times, we don't find out the cap has been reached till many months later. The default rate is so low. There must be a way to capture the true RUG scores while he is with us just in case we need to bill Med A.....Any ideas? Thanks to all. What a great group!
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