RE: Medicare Eligible

[Angie Palac]

Resident was treated for anemia and had a blood transfusion which would skill her for at least 5 days.  MDS coordinator asked me if per chance the resident did not have anything to skill her in the hospital and she was not appropriate for therapy, how would the facility bill for the days she was in a Medicare bed until the evaluation was done and determined she was not Medicare eligible (admit Friday and eval on Monday).  I don’t know if this scenario ever happens.  It seems to me that the report from the hospital would determine if she was eligible or not,  and if not, do not put her in a Med A bed.   Thanks, Angie   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of claudia farrell Sent: Wednesday, March 03, 2004 5:21 AM To: [EMAIL PROTECTED] Subject: RE: Medicare Eligible   Did the patient have IV's in the hospital? what were they tx for first. claudia farrell rn Claudia >From: "Angie Palac" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Medicare Eligible >Date: Tue, 2 Mar 2004 21:31:48 -0600 > >If a resident is admitted to a Nursing Home after a 3 day hospital stay, >and therapy was ordered, but unfortunately the resident was not >appropriate for therapy, what does the facility do?  For example, the >evaluation was not done until Monday because the resident was admitted >late Friday. How does the facility bill for Friday, Saturday and Sunday, >and lets presume that there is nothing that the facility can capture >from the hospital.  Has this ever happened to anyone?  Any help would be >much appreciated. > >Angie Fast. Reliable. Get MSN 9 Dial-up - 3 months for the price of 1! (Limited-time Offer) /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/