We verify all patients insurance before admission whether Medicare or Managed Care, 
etc.  We do a 14 day Admission MDS on all patients (including Managed Care if here 14 
days or >).  We do not do the PPS MDS schedule for Managed Care patients and have 
never had an issue in almost 6 years since we opened our SNU.  I think clear 
documentation of verification of benefits may be the key for us.  However, we have 
never had an issue with a Managed Care patient acutally turning out to be a Medicare 
patient.  I do agree that your MDS load would be much greater if you followed the PPS 
schedule for everyone.  Sorry I don't really have any words of wisdom, just my 
experience.

        -----Original Message----- 
        From: [EMAIL PROTECTED] on behalf of BONNIE RANDOLPH 
        Sent: Mon 11/3/2003 8:30 PM 
        To: [EMAIL PROTECTED] 
        Cc: 
        Subject: Managed Care HMOs/Assessments
        
        

        What do others do about the managed care resident's assessments?  We keep
        them on a Medicare schedule, just for a safety net because we have gotten
        "stuck" several times finding out too late that a Medicare resident
        disenrolled from Medicare and joined the Managed Care HMO.  It wasn't really
        a concern until just lately when the majority of our admissions are Managed
        Care HMOs.  It seems a waste of MDS time doing the extra assessments but if
        they save us even once from a default rate, I guess they are worth the time.
          Opinions?
        
        Bonnie
        
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