Hi, The key to a Medicare A LOA is what is the resident missing while out of the building? And is it being provided while on the LOA? If they were in PT, for example, they just need to receive the 5 out of 7 days. There are Medicare A LOA days, primarily for trial visits home or to a lesser care environment in anticipation of discharge. The eligibility criteria need to be continuously met: this includes requiring services, as a practical matter, as an inpatient. It would be helpful, especially in a post payment review, to have had the physician make a note as to the therapeutic nature of the home visit. Of course, we can't bill for the day unless the resident is in the bed at midnight.
I have just joined this list of AANAC members in this "chat room".
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of CAROLYN ORTTEL
Sent: Wednesday, December 17, 2003 9:11 AM
To: [EMAIL PROTECTED]
Subject: Re: LOA and Med A
Yes, but you can't charge Medicare A for the time they are
gone. They have to be in the Med A bed at Midnight to bill medicare. You
have to adjust the number of days in the billing period accordingly
>>> [EMAIL PROTECTED] 12/17/03 07:54AM >>>
Can somebody on Med A receiving PT go home with family and
spend the night(Christmas Eve) and still be on Med A?
Thanks
Terri, RNAC
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