|
I do the same thing.
Michelle
----- Original Message -----
Sent: Saturday, October 25, 2003 1:36
PM
Subject: Re: HMO &
Medicare........When to RUG
I follow the Medicare PPS cycle in situations like this. Code and
transmit them as Medicare A. Then if insurance is not primary you are
covered. Sounds like you will probably need them.
----- Original Message -----
Sent: Friday, October 24, 2003 6:12
PM
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!
|
