Here is a link to the medlearn site which explains that bills cannot be sent to the FI until locked and transmitted. The real change took place in March of 2000 when the definition of "locked" occurred with the initiation of the Correction Policy. http://www.cms.hhs.gov/medlearn/SNFFRManual.pdf
On page 1-3 of teh MDS correction policy it states in bold "With this revised approach, an MDS record is considered locked when accepted into the state data base."
Each facility should have a way of notifying billing when all Medicare assessments have been accepted into the state data base so that Medicare billing can occur. A monthly triple check meeting can accomplish this. I also give billing a copy of my validation report with the Medicare assessments highlighted so that they can be sure that the assessment is locked.
-----Original Message-----
From: Jennifer Roberts <[EMAIL PROTECTED]>
Sent: Feb 12, 2004 6:50 AM
To: [EMAIL PROTECTED]
Subject: billing
-----Original Message-----
From: Jennifer Roberts <[EMAIL PROTECTED]>
Sent: Feb 12, 2004 6:50 AM
To: [EMAIL PROTECTED]
Subject: billing
Could someone please tell me where to find the rule about not being able to bill for Medicare A services until after the MDS has been transmitted.
Thanks,
Jen
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