These IVs are not excluded and the faciolity would be
responsible for the IV antibiotics and transportation
arrangement/ ambulance.

--- "Onken, Julia" <[EMAIL PROTECTED]>
wrote:
> 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?
> 
> 


=====

Marie A. King, RN-CS,Cm,CNS,MSN, RAC-C, NHA

King & Associates, Inc

2007 Old Montgomery Hwy, Ste.B

Birmingham, AL 35244-2079

(205)988-4222<vbr>FAX (205)988-4101



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