We inserviced all our billers and MDS coordinators on this issue ( all in the same room and with lunch), and also created a form that each coordinator then faxes to the biller monthly with this information. The form has a space for the resident's name, the LCD, the ongoing skilled care and a box to state the date the skilled service ends. It has simple instructions on how to complete it and it refers to the SNF manual 517.3 No Payment Bill section. Jeanne
On Tue, 28 Oct 2003 16:17:50 -0500 "Nancy Deonarine" <[EMAIL PROTECTED]> writes: > oooo, a lovely thought for the future, however, I am fairly certain > that we don't do this at present. Any thoughts on handling this > situation as it stands for us right now? > Thanks, Nancy > > Nancy Deonarine RN > MDS Coordinator > Barclay Friends > West Chester, Pa 19380 > > Confidentiality Notice: This message may contain Protected Health > Information (PHI) or other information which may be confidential or > legally priveleged. If you are not the intended recipient, you may > not > use, copy, disseminate or disclose this communication or its > contents to > anyone. If you have received this message in error, please advise > the > sender by reply and delete the message. Thank You. > > > > >>> [EMAIL PROTECTED] 10/28/03 04:11PM >>> > When a resident continues to receive skilled services after their > 100 > days are exhausted, someone in your facility needs to keep track of > when > their skilled services end. Whenever the resident is no longer > receiving skilled services (wound heals, tube feed discontinued, > etc) > your billing department needs to send a bill to the FI with > occurrence > code 22 to show that the resident is no longer skilled. The > occurrence > code 22 bill sets the counter in the Common Working File to show > the > break in the skilled nursing need and start counting towards the 60 > day > break in skilled services. You need to check to see if your > facility > ever reported that the resident's skilled services ended. If they > did, > has there been a 60 day period where the resident was not on Skilled > in > your facility or admitted to an acute care hospital? > Someone needs to keep a running list , keep in touch with your > medicare > biller, and check at least monthly to make sure that the resident > continues to require skilled services. > > -----Original Message----- > From: Nancy Deonarine <[EMAIL PROTECTED]> > Sent: Oct 28, 2003 11:51 AM > To: [EMAIL PROTECTED] > Subject: Rena? help? new benefit period? > > I have a question about a new benefit period for a resident. Here > is > the situation. > She received a full 100 days of a medicare A benefit period for > multiple stage 2 and 4 pressure ulcers at the end of 2002. She had > a > wound vac treatment for one wound. Her 100days were up, her wounds > continued to improve. The dressing changes went from q3days to > q2days. > > All of the wounds but one have healed. It is a healing stage 4. > The > current wound treatment was every other day. > Now she is in the hospital for pneumonia and urosepsis. It has > been > well over 100 days since she has had any daily dressing changes. > Can > she have another 100 day benefit period when she returns from the > hospital? for therapies r/t the pneumonia and not the wounds? > Thanks, Nancy > > Nancy Deonarine RN > MDS Coordinator > Barclay Friends > West Chester, Pa 19380 > > Confidentiality Notice: This message may contain Protected Health > Information (PHI) or other information which may be confidential or > legally priveleged. If you are not the intended recipient, you may > not > use, copy, disseminate or disclose this communication or its > contents > to > anyone. If you have received this message in error, please advise > the > sender by reply and delete the message. Thank You. > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > ________________________________________________________________ The best thing to hit the internet in years - Juno SpeedBand! Surf the web up to FIVE TIMES FASTER! Only $14.95/ month - visit www.juno.com to sign up today! /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
