I believe you will have to take default rate from day 1 until the admission assessment was done, then you could use that RUG score up to day 30. which would be 9-17--, then you would have to take default rate from the 18th through the rest of his stay. That is my understanding, I could be wrong. Michelle
Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, March 25, 2004 12:25 PM Subject: Missed medicare assessments/Rena > Our business office justed call to see what I could do[if anything]Patient admitted as managed care Aug 19th ,dc/d Sept 30th.Insur company won't pay,because medicare was primary.He had 1 MDS done which was ref on day 10,so I can't use that at all as a 14day.Can I do anything to not get default rate for his entire stay.I remember someone asking simular question,but didn't pay attention to answer,"AS THIS WOULD NEVER HAPPEN IN MY FACILITY",ha,ha.Any advice would be appreciated. > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
