RE: MCR A resident who leaves facility for IV meds...

[Onken, Julia]

Title: Message

When we have this occur, (rarely) the resident is billed as an outpatient through the hospital for the services that they provide, including the medications, solutions, etc. The hospital should be able to bill Medicare for these services, just like they would if the patient lived at home.  We also do no Medicare billed services, so medicare payment is not a concern for us. Our facility does not do skilled care at all, (not even the cares to the Hickman Port) so all skilled, outpatient, and acute services are done through the hospital.  They do their own record and billing.  Julia A. Onken, R.N.  LTC Nurse Manager Goshen Care Center 2009 Laramie Street Torrington, WY  82240 Phone (307) 532-4038  ex. 3044 Fax (307) 532-3800        -----Original Message----- From: Jamie Morris, RN [mailto:[EMAIL PROTECTED] Sent: Wednesday, November 12, 2003 2:50 PM To: [EMAIL PROTECTED] Subject: MCR A resident who leaves facility for IV meds...   We have a resident who was discharged during a MCR stay to the hospital for arm surgery. She was out for 2 days. She now has returned but will be leaving the facility every day to return to the hospital for IV medications (she has a Hickman port and we do not do any IV therapy here). This will last for 30 days. We wonder (our MDS office & our billing office) how the IV meds. will be paid for... will we (the facility) be paying for this out of her per diem?