The SNF can get paid for the day since the resident was discharged on the same day as admission. This is the only exception to the Medicare rule about not paying for day of discharge. You will get paid by the RUGS rate of the 5 day MDS. So, if you have information for the resident you can complete the readmisssion assessment and get paid by the RUG, otherwise you will get paid the default rate. Since so much staff time goes into a resident the day of admission, I think that it is usually better to try to do the MDS with the information from acute in order to get into a higher paying RUGS group.
As for your second question, you may NOT count physician visits from acute. Page 3-205 of the RAI manual was updated in August of 2003 to state under clairifications "Do not count visits or orders prior to the date of admission or reentry. " At the top of page 3-205 under question P-7 , it states "Do not include physician vists that occurred during the resident's acute care stay."
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 2, 2004 12:28 PM
To: [EMAIL PROTECTED]
Subject: Readmit / deceased less than 24 hour
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 2, 2004 12:28 PM
To: [EMAIL PROTECTED]
Subject: Readmit / deceased less than 24 hour
HI
I have a resident that passed away in less than 24 hours upon readmission from the hosp with MCR eligible . His readmit date 12/31/03 at 11:50 am , deceased 11:55 pm same day. Billing is telling me that I do not have to do an MDS / cert for that day because they don't charge for that day because the resident expired before midnite. If so, what happens to that day of payment? I thought their was an exception to the rule when someone is admitted and dies within 24 hours that you could still charge for that day according to the rug. Please help,
nancy fro PA
Futhermore, could you count the physicans visit from the hosp progress notes for section p7 on the mds if done.
