This also depends on the state you are in and if your facility chose the
default rate. If your facility did not elect to use the default rate you
will have to do a full admission assesment on all residents.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
carol maher
Sent: Thursday, January 22, 2004 10:33 AM
To: [EMAIL PROTECTED]
Subject: Re: coding medicare assess

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X-OriginalArrivalTime: 22 Jan 2004 16:36:19.0713 (UTC)
FILETIME=[DD1B0F10:01C3E105]


It is acceptable to just do a discharge prior to completion of initial
assessment and take the default rate, but NOT usually a good idea
financially for the facility.  Even though the resident was only in your
facility a short time, you could complete a 5 day PPS assessment and
code the information from the hospital which would place the resident in
a RUGS group that could be billed. You would also need to complete a
discharge tracking form with discharge prior to initial assessment.  No
need to do an entire admission assessment, just a 5 day PPS for payment.
Dash the answers you do not know.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 21, 2004 3:04 PM
To: [EMAIL PROTECTED]
Subject: coding medicare assess

According to our adm. if a resident leaves the facility say prior to
12mn on 
the 18th the last actual day of service would be 17th due to the
"midnight 
rule". how about the res that is admitted on the 17th and leaves the
facility 2-3 
hours later would you do a 5 day or a disch prior to completion of
assess and 
just take a default rate? Thanks
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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
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