To bill medicare A, the resident must be in a medicare certified bed. All CMS told your administrator was that they did not expect to see him bill for more than 47 medicare a residents at one time, they did not tell him to ensure these residents were in a certified bed. I would assume that CMS thought that he could figure this out on his own. He is putting his license on the line. I would certainly speak with him about this and show him the regulations that speak to the resident being in a certified medicare bed. Since you have distinct medicare units (all of your beds are not certified), per se, your residents participating in the medicare a program must be in a certified medicare bed. You may want to show your administrator the SNF medicare manual and let him read about distinct units. Maybe this will open his eyes.
Angie, I am not real sure about your situation. Evidently missed some of the message. Is this resident a return back from the hospital and you don't have a bed or he is moving off of medicare as stay is over?/? Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: joelene galie [mailto:[EMAIL PROTECTED] Sent: Monday, June 09, 2003 9:22 AM To: [EMAIL PROTECTED] Subject: Re: Not a Certified Bed? I believe that the location of the Medicare A bed is not important, but that you can only bill for at most 47 Meciare A residents a day - only 47 beds can be designated skilled, regardless of where they are. I'm not sure about notifying the powers to be as to which paarticular beds are Med A. >From: Judith Ali Ali <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: Not a Certified Bed? >Date: Sun, 08 Jun 2003 13:24:25 -0400 > >I have a similar problem, I think. I work in a 244 bed SNF w/ a 47 bed >Medicare bed unit. The other beds ARE NOT DUALLY-CERTIFIED. Our >administrator informed us that he had called CMS about a pt. who was >returned to his locked unit while on Medicare due to his behavior >needs. He states he was told that "We don't care where you put him as >long as you don't bill for more than 47 pts. at a time." The facility >now has medicare patients on three units, totalling 42 pts. Is this >legit, and am I at risk for signing as the RNAC on any of the CMS MDS's? > > > > > Need help please! > > No empty Medicare room to put him > > in, so > > consequently he goes to a non-certified bed. Therefore, he is off of > > Medicare. How should the facility discharge him since he went to > > a non > > certified section of the facility? A consulting firm stated that we > > should treat him as a LOA from Medicare. I don't know if this is > > accurate. After he is out of isolation, he will be going back to a > > Medicare bed. > Any help would be greatly appreciated. > > > Thanks so much. > > > Angie > > > > > > >/---------------------------------------------------------- >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 >-----------------------------------------------------------/ _________________________________________________________________ MSN 8 helps eliminate e-mail viruses. Get 2 months FREE*. http://join.msn.com/?page=features/virus /---------------------------------------------------------- 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 -----------------------------------------------------------/
