RE: Pls.Pls. Help quick re: Billing on Medicare Part A

[Winona M. Phelps]

Hi.  It's in the RAI Manual in Chapter 2, page 38 under "Resident is Admitted to an Acute Care Hospital and Returns".  It's the second paragraph.

Also, http://www.cms.hhs.gov/medlearn/refsnf.asp   Chapter 2 will tell your biller how to do it.

Winona Phelps, RN

 

-----Original Message-----
From: C G [mailto:[EMAIL PROTECTED]
Sent: Monday, November 03, 2003 11:21 AM
To: [EMAIL PROTECTED]
Subject: Pls.Pls. Help quick re: Billing on Medicare Part A

We have patient 10/13/03 under Medicare Part A, went to ER 10/25/03 at 11Pm, she came back to our building at 1am on 10/26, she is  not admitted at the Hospital, just stayed at the ER. Our Billing Dept. wants me to discharge her in the system on 10/25

and do another assessment. I know we had discussed this before that if this happens, you just need to skip that day which is 10/25/03 and we dont get payed for room and board and continue and adjust the MDS calendar....Pls. help.... any documentation that

you can provide to support my claim will be appreciated... and any suggestions what she

needs to do?  Thanks.........

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