i have the same case..patients 5 day was RHC and when i did 14 day it was SE3,although rehab still continued nurses support is less(rhb)..i always thought software defaults to higher payments..if this is the case should i do OMRA for 14 days since rugs falls to extensive?pls anybody?
"Gola, Tammy" <[EMAIL PROTECTED]> wrote:
"Gola, Tammy" <[EMAIL PROTECTED]> wrote:
No, not really, the assessments are identical except for the # of days and
minutes of therapy the patient actually received based on which ARD I used.
so on both assessments they had IVF, IV med and O2.
Tammy Gola BSN, RN, CRNAC
Wilkes-Barre General Hospital
Transitional Care Unit
575 North River Street
Wilkes-Barre, PA. 187641-0001
570-552-5417
[EMAIL PROTECTED]
-----Original Message-----
From: Brenda Chance [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 06, 2003 11:46 AM
To: [EMAIL PROTECTED]
Subject: RE: Software and RUG's
You are using 2 different ARD's with different coding. The difference
in the RMC and SE3 is not related to therapy. The SE3 may only be
obtained through IV meds, etc. See the clarification in the MDS manual
in chapter 6.
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Gola, Tammy [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 06, 2003 11:18 AM
To: '[EMAIL PROTECTED]'
Subject: Software and RUG's
Hi, I know that this was recently discussed, but I'm going to ask it
anyways. What is the correct way to bill the right RUG, by the higher
reimbursed RUG or higher CMI RUG. I have a patient that if I use day
11, I
RUG at RMC. If I use day 14 I get a SE3 RUG. Another thought is that
on
the one using day 11, I don't have 5 consecutive days of therapy between
the
2 disciplines. but I do have 175 minutes. (there were 3 days for OT
and 2
days for PT but on the same days). Which is the correct way to do this.
At
one point, I thought my software always pulled the higher paying RUG,
but I
guess not.
Tammy Gola BSN, RN, CRNAC
Wilkes-Barre General Hospital
Transitional Care Unit
575 North River Street
Wilkes-Barre, PA. 187641-0001
570-552-5417
[EMAIL PROTECTED]
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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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