How you proceed depends entirely upon the specifics of the change in ownership...whether or not the new owner assumed the assets and liabilities of the prior owner........
We have gone through a few change of ownerships and in all our cases the schedules did not start over....but once again it depends upon the specifics of the sale.
from page 1-17 of the RAI Manual.....
CHANGE IN OWNERSHIP
There are two types of change in ownership transactions. The more common situation requires the new owner to assume the assets and liabilities of the prior owner. In this case, the assessment
schedule for existing residents continues, but the facility uses the new provider number. For example, if the Admission assessment was done 10 days prior to the change in ownership, the next OBRA assessment would be due no later than 92 days from the MDS Completion Date (R2b) of the Admission assessment, and would be submitted using the new provider number. If the resident is in a Part A stay, and the 14-Day Medicare assessment was used as the OBRA Admission assessment, the next regularly scheduled Medicare assessment would be the 30-Day MDS, and would also be submitted under the new provider number.There are situations where the new owner will not assume the assets and liabilities of the previous owner. In these cases, each resident is considered a new admission effective on the date of sale. New assessment schedules will be required for all residents in certified beds.
"S.A. Curran" <[EMAIL PROTECTED]> wrote:
Question for the group:If a Medicare skilled nursing facility changes ownership at the beginning of a month, what should the process(es) be for completion of the MDSs for residents that continue to remain certified for Medicare Part-A after the change in ownership? There will be a change in Intermediaries, however, there will be no change in the skilled nursing facility's Medicare provider number. There seems to be 2 options.Option 1 - Let's say the change in ownership occurred on March 1, 2004, and a resident was admitted and certified for Medicare Part-A coverage on February 21, 2004. A 5-day assessment was done on February 25, 2004. The 14-day assessment would be due on or about March 5th, 2004. One school of thought says the new owners would simply continue with the resident's existing assessment schedule.Option 2 - same resident scenario as in Option 1 but instead of continuing the resident's existing assessment schedule, the new ownership simply picks up the resident as a new admission on March 1, 2004, and completes a 5-day assessment on March 5, 2004. This school of thought treats the change of ownership as if the resident had transferred from one skilled nursing facility to another skilled nursing facility. The number of Medicare covered days the resident used prior to the change in ownership would we treated as a prior SNF stay.Both of these options seem acceptable, however, with option 1 there could be issues with availability of documentation to support the 5-day assessment that was completed prior to the change in ownership plus there would be claims filing issues due to the change in Intermediaries. Option 2 appears to be the more reasonable choice and would eliminate any claims filing issues. Is there a better process?S.A. Curran
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