RE: Readmit / deceased less than 24 hour

[Debbie Settle]

Yes, there is an "exception" rule that does allow the facility to bill if the resident expires before MD on day of admission. Why wouldn't the facility want to capture what they could and get reimbursed for that one day.( Think of the nusing time, supplies, etc...) You won't be allowed to count MD visits that occured in the hospital. See RAI apge 3-204 & 3-305. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Friday, January 02, 2004 3:29 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.