Thankyou for the website. I am grateful for the websites many of you have included in your responses. There are so many and now that CMS is paperless....I think a fulltime person would be busy just monitoring these websites!
Jane
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of David Norsworthy
Sent: Wednesday, December 17, 2003 4:53 PM
To: [EMAIL PROTECTED]
Subject: RE: Counting "outside" therapy minutes
I read at http://www.cms.hhs.gov/medlearn/snfsectionII.asp
that the file had been updated and it listed several services that must be
consolidated including the modified barium swallow study.
Thanks,
David
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Jane Craven
Sent: Wednesday, December 17, 2003 3:47 PM
To: [EMAIL PROTECTED]
Subject: RE: Counting "outside" therapy
minutes
Consolidated Billing for the SNF stay
doesn't include uncareplanned/unanticipated procedures/events.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of David Norsworthy
Sent: Wednesday, December 17, 2003 4:30 PM
To: [EMAIL PROTECTED]
Subject: RE: Counting "outside" therapy
minutes
It is my understanding that Modified Barium
Swallow Studies came under consolidated billing 01/01/03. So the SNF should
always be responsible for the bill.
Thanks,
David
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Nathan Lake
Sent: Wednesday, December 17, 2003 3:05 PM
To: '[EMAIL PROTECTED]'
Subject: RE: Counting "outside" therapy
minutes
While I am not certain of the answer to this
question (RAI manual not withstanding), I would like to know who paid for
the Barium swallow? If the hospital billed Medicare under Part B, and you
count those minutes on the MDS for Part A, that seems like a form of double
dipping to me. That situation would be particularly ripe for abuse if the
nursing home were hospital owned.
Did your facility pay for the test?
Nathan
-----Original Message-----
From: Jane Craven
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, December 17, 2003 3:56 PM
To: [EMAIL PROTECTED]
Subject: RE: Counting "outside" therapy
minutes
You are correct. The resident was in a
Medicare A stay at the time of the Barium Swallow. If the resident had
received the Barium Swallow prior to coming to the SNF, the minutes would
not have counted.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Wednesday, December 17, 2003 3:38 PM
To: [EMAIL PROTECTED]
Subject: Re: Counting "outside" therapy
minutes
This is incorrect. All therapy minutes
delivered after admission to the SNF may be included as long as they were
ordered by a physician, performed by a qualified therapist, and were
medically necessary. According to page 3-185 of the RAI User's Manual, "The
therapy treatment may occur either inside or outside the facility."
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse
Assessment Coordinators
[EMAIL PROTECTED]
Subj: RE: Counting "outside" therapy minutes
Date: 12/17/03 12:25:18 PM Pacific Standard
Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
No. No therapy minutes from the hospital
stay may be used. This is in the PPS Final Rules; look on page 41661 of the
July 30, 1999 Federal Register-line 12 of the 1st column on this page
begins: "In addition to the issues discussed...". You will note the eval
of the resident's need for therapy must begin in the SNF not in the
hospital.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN, RAC-C
Sent: Wednesday, December 17, 2003 11:15 AM
To: [EMAIL PROTECTED]
Subject: Counting "outside" therapy minutes
Hi Group,
I have a question to relay from an
email-impaired friend.
When a Med A resident is sent out to the
hospital for modified barium swallow, and returns with documentation of the
minutes provided by the SLP doing the study, can these minutes be counted on
the MDS?
Thanks!
Holly F. Sox, RN, RAC-C
Clinical Editor
www.careplans.com
<http://www.careplans.com/> [EMAIL PROTECTED]
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