Donna, For the 5, 14, 30, 60, and 90 day PPS assessments, the payment changes once the number of days the particular PPS MDS "buys" concludes. For example, the 5 day "buys" the first 14 days of admission, therefore, the 14 day "buys" the next block of days identified by the Final PPS rules as the next 16 days. Then the 30 day "buys" a 30 day block, the 60 day "buys" another 30 day block and the 90 day "buys" the last 10 days.
An OMRA, however, changes the payment ON the ARD, whatever that date is-regardless of where the main PPS assessment schedule is. A significant condition change during a Medicare A stay will do the same thing. 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: Monday, January 12, 2004 10:34 PM To: [EMAIL PROTECTED] Subject: Can anyone explain to me what date the payment changes when grace days are used? Would it be the date of the grace day? Example: 30 day falls on 1-12-04 but the ARD is set at 1-15-04. Does payment for billing new RUG change on 1-15-04? /---------------------------------------------------------- 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 -----------------------------------------------------------/
<<attachment: winmail.dat>>
