BILLING BASED ON OFF-CYCLE MDS ASSESSMENTS
If an off-cycle assessment is performed within the assessment window of a Medicare required assessment, it must replace the Medicare required assessment. Payment will change effective with the ARD of the off-cycle assessment that "replaces" the Medicare required assessment and will continue until the next Medicare required assessment or off-cycle assessment, whichever occurs first. This policy is applied when there is a single off-cycle assessment that is performed within the Medicare required assessment window. However, when the ARD of the replacement" (or offcycle) assessment is on one of the grace days, the payment rate changes on the day it would have changed based on the regularly schedule assessment.
[EMAIL PROTECTED] wrote:
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?
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