Title: Message
1. Since the Patient is Med A and being covered under Consolidated Billing regs, you wouldn't get paid separately for therapy anyway.  Unless the patient is in their bed at midnight, you will not be able to bill the Medicare program for that day. 
2. Yes, you count it on the MDS
3. (previous email below) I don't believe you can legally bill the resident for a LOA day.  If Medicare doesn't pay for that day, I don't believe the facility can expect the patient to pay.
 
 
-----Original Message-----
From: Angie Palac [mailto:[EMAIL PROTECTED]
Sent: Wednesday, March 17, 2004 4:42 PM
To: [EMAIL PROTECTED]
Subject: RE: LOA who pays

What happens to the therapy that was given that day?  Does the facility get paid for it?  Can we count it on the MDS if the LOA day falls within the observation period?

 

Thanks for your help.

Angie

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Faye Jones
Sent: Wednesday, March 17, 2004 11:11 AM
To: [EMAIL PROTECTED]
Subject: RE: LOA who pays

 

Per billing dept, we instruct everyone on admission r/t the midnight rule and bill the resident or Medicaid (if they have it).

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Linda Sartore
Sent: Wednesday, March 17, 2004 10:42 AM
To: [EMAIL PROTECTED]
Subject: LOA who pays

 

I need some help on the following question:

 

If a Medicare resident is not in bed at midnight but has not been discharged for admitted into another healthcare facility (rather is either in ER or on therapeutic leave), we know that the SNF cannot bill Medicare for that day but the Medicare schedule is adjusted by the number of days resident is absent.  My question is, when this happens do you usually put the resident's bed on hold and if so, who pays for the bed if Medicare can't be billed?

 

Thanks for any help you can provide

Linda

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