Follow the Medicare A PPS schedule for the MDS process.
-----Original Message-----
From: [EMAIL PROTECTED] on behalf of [EMAIL PROTECTED]
Sent: Fri 10/24/2003 9:12 PM
To: [EMAIL PROTECTED]
Cc:
Subject: HMO & Medicare........When to RUG
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!<<winmail.dat>>
