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Along
with this question, do you do 5,14,30 etc assessments on all skilled residents
regardless of medicare or other insurance? Also do you code them as such
if the pay source is insurance or would you code them as "None of the
above". I have not came across this situation yet. But I am sure I
will and do not want to take a default rate.
In
this situation, would the 5 and 14 day assessments have to be completed late and
submitted late?
Kathy
Vogt, RN
Good
morning, I have a resident who was admitted on
12/6/03
and she had a private insurance with the authorization number so I did an
initial assessment on 12/17/03
and submitted it to the state. At the end of the month when we tried to
bill the insurance they refused as they said she has Medicare primary.
Upon further investigation she is. So my questions are do we have to
take the default rate for the 5 and 14 day or can I do a correction on the
initial MDS and resubmit as a medicare assessment? Thanks for the
help.
Dena J
Babcock RN
Briody
Health Care
Facility
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