Rena
Subj: NON PPS
Date: 12/11/03 11:13:53 PM Pacific Standard Time
From: [EMAIL PROTECTED]
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Hi everyone,
We are hospital base SNF. A medicare patient was admitted to our unit after 1 1/2 days of acute stay so, definitely she does not meet the criteria for the 100 days medicare coverage. She is diabetic on sliding scale and has a stage 2 decubitus. My questions are:
1. Should I do a comprehensive assessment (1/0) completed by the 14th day?
Yes. Since your unit is Medicare and/or Medicaid certified, you are required to complete the OBRA-required assessments (listed in AA8a on the MDS) as spelled out in Chapter 2 of the RAI User's Manual.
2. Section A7: do I check c (medicare A ancillary) &d (medicare B ancillary)?
Medicare A ancillary would not be appropriate. If she is receiving ancillary services that are billed to Part B, then that category would be correct. Check with your business office to determine payment sources.
3. Can we bill medicare B for her rehab (PT/OT) minutes?
Yes, as long as the services meet the criteria for skilled rehab under Part B.
Thank you.
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Healthcare Consultant
