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I had never thought it made much difference, but this came up
today: 7 days of respiratory therapy with excellent documentation
for 322 minutes. Rug score was SSA. I redid with no minutes
RUG score was CB1. This was a resident that had been discontinued
from medicare and I was calculating an OMRA for DEMAND
billing. Do I reinstate medicare??? The Dept of public health
stated my minutes and documentation of them were correct. However
I called my FI and because the respiratory status was stabilized and did
not require MD intervention she would not be a candidate for
Medicare. I documented everything and attached it to the MDS in
anticipation of the DEMAND bill, I left in the respiratory minutes on
the MDS and left her as an SSA.
What would you have done?
I am in Massachusetts and the state
has determined that they will require demand billing to medicare for
anyone who is given a denial letter before their 100 th day.
As a matter of fact we received notice today of demand billing
dating back to care provided 11-02, 12-02 and 1-03 through June
03.
-------Original
Message-------
Date: Thursday,
October 30, 2003 07:03:55 PM
Subject:
RUGs
What impact does respiratory therapy has on
RUG scores? Bogda.
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