----- 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Subject: Re: Way outdated MDS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
----- 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Subject: Way outdated MDS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?
Click, drag and drop. My MSN
is the simple way to design your homepage.