Rena, could you give us chapter and verse?  I have also been requested to do this.
----- Original Message -----
Sent: Wednesday, February 25, 2004 5:59 PM
Subject: Re: Way outdated MDS

Michelle,
I tried to reply to this, but your email bounced back to me.  The answer is, you cannot go back in time and do the PPS assessments. If your OBRA admission ARD is within days 1-8, you can go back and do a 5 day, using the same information, and submit it. But for the others, you will have to bill default rate to Medicare.
 
Rena can quote chapter and verse on the regulations regarding this. I don't have it with me at home or in my brain.  ;-)
 
And I will certainly still be available and active on the list as well as for any questions anyone wants to send to me privately. I am going to another facility to do MDS and have less responsibility.  Woo HOO!!!!
 
HS
Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
Sent: Wednesday, February 25, 2004 3:22 PM
Subject: Way outdated MDS

Holly,
 
The business office is requesting that I do a 5,14,& 30 day on a resident that was d/c'd in Sept 03.  They say they need to bill Medicare and that the only way that Medicare will accept the billing is if these reports are done.  She originally came in with an insurance for a car accident but they refused to pay.
 
I am not comfortable doing this because I was not employed here at that time and I have no clue what the woman was like.  I also can find no eason to skill the lady because there are PT orders but no PT notes to be found.  She has a few notes for Restorative Therapy but they are scattered.  I can also find no dx for the therapies.
 
HELP.
 
TIA,
Michelle Edwards
 
PS
Are you still going to be availabe for questions re MDS once you change jobs?


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