Bonnie, we do the same thing that you do. If the resident comes in Managed care with Medicare backup, we keep them on a PPS schedule because we have had an instance where we have found out later that the payor was Medicare - not Managed - and also vice versa. So if we had not done the PPS schedule, we'd have to bill the default rate. It's more work but once in a great while, it pays off. If the res is Managed and not eligible for Medicare yet, we'd just do an OBRA schedule.-------Mike > -----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 them extra assessments but if they save us even once from a default rate, I guess they are worth the time. > Opinions? > > Bonnie > > > _________________________________________________________________ > Crave some Miles Davis or Grateful Dead? Your old > favorites are always > playing on MSN Radio Plus. Trial month free! > http://join.msn.com/?page=offers/premiumradio > > > /---------------------------------------------------------- > 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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