We also have every one of our beds dually certified and when a Managed care resident is admitted, we put them on a Medicare schedule (5, 14, 30, 60, 90) only if they have Medicare as backup insurance (or if Medicare is the source of the Managed care insurance). If they are not eligible (ie. due to age)or don't have Medicare backup, then we just follow the OBRA schedule. We do this because once in awhile, the Managed care company likes to fight it out with Medicare and decides not to pay. If we hadn't done a Medicare schedule, we would have to eat the cost of that admission. --- "Vogt, Kathy" <[EMAIL PROTECTED]> wrote: > > > > > > Our facility has all beds certified Medicare. We > also do quite a few > managed care skilled patients. What assessment > schedule to you set them up > for? Do you do a 14, 30, 60, 90? I remember > vaguely that someone at one > time said they did this just in case they did not > have the insurance and > were in fact Medicare A. How do you code these. Do > you code them as if > they were Medicare assessments? > > Thanks for your help, > > Kathy > > > NOTE: This e-mail message may contain information > that is privileged, confidential, and exempt from > disclosure. It is intended for use only by the > person to whom it is addressed. If you have received > > this message in error, please do not forward or use > this information in any way. Delete it immediately > and contact the sender as soon as possible by the > reply option or by telephone at the telephone number > > listed (if available). In the event you cannot > fulfill your obligation or there has been any > improper release > of this information, please contact the Privacy > Officer at Carondelet Health at (816) 943-4611. > > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/
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