Do you give the resident/family a letter at the time of admission telling them about Medicare and that Medicare will be billed but if the resident doesn't qualify they will be responsible?  If so, this begins the process for billing the next source.  If you don't give such notice and have the resident/family sign it you might have no choice but to "eat" it.   We started issuing the notice at time of admission after a little "indigestion" from the "eating"!  
 
----- Original Message -----
From: Michelle Witges
Sent: Tuesday, February 03, 2004 2:58 PM
To: [EMAIL PROTECTED]
Subject: Re: Billing question
 
This happened to us once and we had to "eat" the bill.
Michelle
----- Original Message -----
From: MDS Lady
Sent: Tuesday, February 03, 2004 10:30 AM
Subject: Billing question

We had a resident admitted thinking we had the 3 day hospital stay. On investigation we discovered that one of the nights was under observation, not as inpatient.
 
We brought the resident in as Medicare, all paper work completed, and the next day is when we discovered the error.
 
Can we bill Medicaid for the day or since it was our error does the facility have to accept the day as a loss?
 
Please include documentation.
 
Thx in advance!


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