Have your billing person contact your FI....if no-pay bills have not been submitted correctly they may allow them to be submitted now.
Nancy Deonarine <[EMAIL PROTECTED]> wrote:
Nancy Deonarine <[EMAIL PROTECTED]> wrote:
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
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>>> [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
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/----------------------------------------------------------
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
-----------------------------------------------------------/
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