Hi. I'm not Rena
but thought I'd write to say I agree with you. What was her explanation
for thinking the date was late? 12/2 - 1/1 isn't more than a 30-day
interval. Was she counting from 12/1 forward instead of counting intervals
from recert date to recert date?
"220.4 Timing of
Recertifications.--The first recertification must be made no later than
the 14th day of inpatient extended care service. Subsequent recertifications must be made at
intervals not exceeding 30 days. "
Good luck,
Winona Phelps
I had an internal audit completed by my reimbursement manager today; upon reviewing my current med. certs, she noted that the dating (of subsequent certifications) was not in accordance with existing regulations. Example: Mr. A was admitted on 12/1/03; the initial and "14 day cert" were signed/dated by M.D. for 12/2/03 (the manager had no issue with these certs), however the following cert was dated for 1/1/04 (30 days after 12/2/03), and this cert was found to be tardy. My understanding of SNF Manual Chpt 2 ("Coverage of Services" section 220.5) was that the next dated cert could be as late as 30 days after previously dated certification, as in my example.
Please clarify this for me.Thank you very much.
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