For accuracy you might want to inactivate the MDS (if 5/5 is wrong )
5/5 means quarterly/medicare readmission, 5/1 is quarterly/medicare 5 day.
According to the SNF Manual in Billing Procedures (chapter 5-01 table 2),the HIPPS code would be 01 not 5/5.-they translate into different numerical codes or numbers for billing. It would be the same HIPPS code for a quarterly/medicare 5 day-01.
Pam Allen <[EMAIL PROTECTED]> wrote:
Pam Allen <[EMAIL PROTECTED]> wrote:
Ok, I have a head scratcher here. I was contacted by our billing department
today in regards to a PPS bill for February. The HIPPS code was 55. Resident
was skilled at a SE3 through her 5th day. The NAC who did this attempted to
code a quarterly along with the 5 day. We did a modification to AA8a/AA8b
and resubmitted it to the state and it was rejected with the reason being
that AA8a/AA8b can not be modified. Do we need to inactivate the first
inaccurate assessment(with 5/5) or what? I can't seem to figure it out. Your
help would be greatly appreciated.
Pam
> ATTACHMENT part 2 application/ms-tnef name=winmail.dat
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