Title: Message
See the SNF manual 517.6 “Determining
Whether a Part of a Day is a Utilization Day”-
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Kristen Tryba
[mailto:[EMAIL PROTECTED]
Sent: Thursday, November 06, 2003
12:32 PM
To: [EMAIL PROTECTED]
Subject: RE: Same day Transfer
If a person is admitted
and discharged on the same day you are paid for that day at the RUG level. This
is the only instance where Medicare pays for the day of discharge.
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of MDS
Lady
Sent: Thursday, November 06, 2003
11:28 AM
To: MDS Group
Subject: Same day Transfer
I have been asked to pass this billing question on for
the billers on the group......
"I
have a question regarding same day transfers for a Part A resident. The
resident is admitted and discharged on the same day. In this case, they did
receive services, so we filed a claim to receive payment for our charges.
Medicare paid at the RUGS score. So now, we have a credit balance because the
day is not billable, and therefore was not booked. Should we have received
payment for the RUG, or should we only be reimbursed our charges on same
day transfers."
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